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Organization

PAUL F WAGNER, MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL F WAGNER MD (PRESIDENT)
(262) 763-7613
Entity
Organization

Contact information

Practice address
308 MCHENRY ST, BURLINGTON, WI 53105-2164
(262) 763-7613
(262) 763-7002
Mailing address
308 MCHENRY ST, BURLINGTON, WI 53105-2164
(262) 763-7613
(262) 763-7002

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
04/20/2007
Last updated
04/28/2009
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