Individual
MRS. KARA SYDNEY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1112 N 16TH AVE, WAUSAU, WI 54401-2796
(715) 572-7150
Mailing address
1112 N 16TH AVE, WAUSAU, WI 54401-2796
(715) 572-7150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
135332-030
WI
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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