Bradley Thomas Wagner, CRNA
NPI #1043581770 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1043581770
- Entity Type
- Individual
- Name
- Bradley Thomas Wagner, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jan 26, 2012
- Last Updated
- Dec 19, 2025
Practice Location
- Address
- 611 SHERMAN AVE E
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-1960
- Phone
- (920) 568-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Anesthetist, Certified Registered |
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