Individual
CHRISTOPHER W WAGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1531 S MADISON ST, APPLETON, WI 54915-1800
(920) 730-4413
Mailing address
1531 S MADISON ST, APPLETON, WI 54915-1800
(920) 730-4413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38140
WI
Other
Enumeration date
09/06/2005
Last updated
08/19/2014
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