Individual
CAREY WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7102 MINERAL POINT RD, MADISON, WI 53717-1706
(608) 828-7603
(608) 828-7644
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
102830-875
WI
208000000X
Pediatrics Physician
Primary
102830-875
WI
208000000X
Pediatrics Physician
2023014119
MO
208000000X
Pediatrics Physician
58.030661
OH
208000000X
Pediatrics Physician
94-11326
KS
Other
Enumeration date
03/19/2019
Last updated
08/27/2025
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