Individual
BRITTANY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
218 W PARRY ST, DODGEVILLE, WI 53533-1823
(608) 852-7203
Mailing address
218 W PARRY ST, DODGEVILLE, WI 53533-1823
(608) 852-7203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2005-11
WI
Other
Enumeration date
05/13/2015
Last updated
05/18/2015
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