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Individual

CHRISTOPHER RAYMOND WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
76833-020
WI
207RI0200X
Infectious Disease Physician
Primary
76833-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932738424
WI
Enumeration date
04/06/2020
Last updated
07/10/2026
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