Thomas R Wagner MD

NPI 1033226071 - Surgery - 208600000X

NPI Details
NPI 1033226071
Gender Male
Enumeration Date 08/24/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1032 E SUMNER ST
HARTFORD WI, 53027, US
Phone (262) 673-2300
Fax (262) 673-5894
Business Location
3301 W FOREST HOME AVE
MILWAUKEE WI, 53215-2843, US
Phone (414) 647-6326
Fax (414) 671-8860
Toxanomy
Taxonomy Code 208600000X
License State Wisconsin
License Number 16172
Remove 1033226071 NPI Number
 

According to our database, Dr. Thomas R Wagner MD NPI is 1033226071, taxonomy code is 208600000X and license number is 16172, license state is located at Wisconsin. Thomas R Wagner MD physically located at 1032 E Sumner St, Hartford WI, 53027. NPI Number Thomas R Wagner MD has the Individual type.

Sponsored links

1033226071 NPI number is provided on an as is basis without warranty of any kind. 1033226071 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas R Wagner MD are for informational purposes only.