Individual
KYLE ROBERT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
85045-20
WI
Other
Enumeration date
04/17/2023
Last updated
02/04/2025
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