MRS. Ernestine A Wagner, PA
NPI #1124072889 in Stevens Point, Wisconsin
Provider Information
- NPI Number
- 1124072889
- Entity Type
- Individual
- Name
- MRS. Ernestine A Wagner, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- May 19, 2006
- Last Updated
- Jun 2, 2015
Practice Location
- Address
- 2417 POST ROAD
- Address 2
- BUILDING A
- City
- Stevens Point
- State
- Wisconsin
- ZIP Code
- 54481
- Phone
- (715) 690-1272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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