Individual
ROBERT S WAGENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2795 ENTERPRISE AVE STE 5, BILLINGS, MT 59102-7479
(406) 701-1111
(406) 578-1202
Mailing address
2903 LEGACY LN, BILLINGS, MT 59105-5561
(406) 850-8333
(406) 578-1202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9968
MT
Other
Enumeration date
09/27/2005
Last updated
04/17/2024
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