Individual
CHAD MARTIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 E CAMPUS MALL RM 5131, MADISON, WI 53715-1365
(608) 265-4904
Mailing address
333 E CAMPUS MALL RM 5131, MADISON, WI 53715-1365
(608) 265-4904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200700438
NC
207Q00000X
Family Medicine Physician
77387-20
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
064986
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
77387-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128548427A
—
GA
05
—
128548427B
—
GA
05
—
128548427C
—
GA
05
—
128548427D
—
GA
Enumeration date
02/28/2007
Last updated
09/12/2023
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