Organization
WILLIAM G WAGNER, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G WAGNER MD (PRESIDENT)
(920) 451-8142
Entity
Organization
Contact information
Practice address
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081-1948
(920) 451-8142
Mailing address
2108 KOHLER MEMORIAL DR, #101, SHEBOYGAN, WI 53081-3100
(920) 451-8142
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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