Individual
DR. PATRICK NATHAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
835 S VAN BUREN ST, DEPT OF ANESTHESIOLOGY, GREEN BAY, WI 54301-3526
(920) 857-0894
Mailing address
835 S VAN BUREN ST, P.O. BOX 13508, GREEN BAY, WI 54301-3526
(920) 857-0894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
53625-20
WI
Other
Enumeration date
03/21/2008
Last updated
12/26/2021
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