Individual
WILLIAM J WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
N7426 COUNTY ROAD J, PLYMOUTH, WI 53073-2741
(920) 876-2241
Mailing address
N7426 COUNTY ROAD J, PLYMOUTH, WI 53073-2741
(920) 876-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21098
WI
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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