Christopher W Wagener MD

NPI 1063406064 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1063406064
Gender Male
Enumeration Date 09/06/2005
Last Updated 08/19/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1531 S MADISON ST
APPLETON WI, 54915-1800, US
Phone (920) 730-4413
Fax
Business Location
1531 S MADISON ST
APPLETON WI, 54915-1800, US
Phone (920) 730-4413
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Wisconsin
License Number 38140
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According to our database, Christopher W Wagener MD NPI is 1063406064, taxonomy code is 207V00000X and license number is 38140, license state is located at Wisconsin. Christopher W Wagener MD physically located at 1531 S Madison St, Appleton WI, 54915-1800. NPI Number Christopher W Wagener MD has the Individual type.

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1063406064 NPI number is provided on an as is basis without warranty of any kind. 1063406064 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher W Wagener MD are for informational purposes only.