Individual
DR. ROBERT HAROLD WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2830 CURRY LN, SUITE 1, GREEN BAY, WI 54311-5882
(920) 432-7230
(920) 432-6948
Mailing address
2757 E CARRERA CT, GREEN BAY, WI 54311-7278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3552
WI
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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