Individual
MR. SHELDON ERIC WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
(608) 775-8614
Mailing address
455 19TH ST S, LA CROSSE, WI 54601-5068
(608) 796-0111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1270
MN
2255A2300X
Athletic Trainer
Primary
252-039
WI
Other
Enumeration date
09/15/2005
Last updated
07/08/2007
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