Individual
WILLIAM G WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 N TAYLOR DR, SHEBOYGAN, WI 53081-1930
(920) 459-8300
Mailing address
2108 KOHLER MEMORIAL DR, STE 101, SHEBOYGAN, WI 53081-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
17431020
WI
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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