Individual
JOE J WANGERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2977 COUNTY HWY CX, PORTAGE, WI 53901
(608) 742-3004
(608) 833-5039
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3380-23
WI
Other
Enumeration date
07/15/2009
Last updated
01/20/2021
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