Individual
JAY D WAGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 RIDERS CLUB RD, ONALASKA, WI 54650-2041
(608) 783-7399
Mailing address
927 RIDERS CLUB RD, ONALASKA, WI 54650-2041
(608) 783-7399
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2645
MN
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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