Amy J Wagner MD

NPI 1134263619 - Surgery - 2086S0120X

NPI Details
NPI 1134263619
Gender Female
Enumeration Date 02/16/2007
Last Updated 12/20/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
9000 W WISCONSIN AVE
PEDIATRIC SURGERY
MILWAUKEE WI, 53226-4874, US
Phone (414) 266-6550
Fax (414) 266-6579
Business Location
9000 W WISCONSIN AVE
PEDIATRIC SURGERY
MILWAUKEE WI, 53226-4874, US
Phone (414) 266-6550
Fax (414) 266-6579
Toxanomy
Taxonomy Code 2086S0120X
License State Wisconsin
License Number 52990
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According to our database, Amy J Wagner MD NPI is 1134263619, taxonomy code is 2086S0120X and license number is 52990, license state is located at Wisconsin. Amy J Wagner MD physically located at 9000 W Wisconsin Ave, Milwaukee WI, 53226-4874. NPI Number Amy J Wagner MD has the Individual type.

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1134263619 NPI number is provided on an as is basis without warranty of any kind. 1134263619 is maintained by the National Plan & Provider Enumeration System. The contents of Amy J Wagner MD are for informational purposes only.