Individual
KATHRYN EMILY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 LEWIS AVE STE 205, MERIDEN, CT 06451-2121
(203) 238-1241
(203) 686-0791
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
72343
CT
Other
Enumeration date
03/28/2017
Last updated
08/18/2022
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