Andrew Wagner

NPI #1619140092 in Oconto Falls, Wisconsin

Provider Information

NPI Number: 1619140092
Entity Type: Individual
Name: Andrew Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 8, 2008
Last Updated: Apr 14, 2008

Practice Location

Address: 855 S MAIN ST
City: Oconto Falls
State: Wisconsin
ZIP Code: 54154-1241
Phone: (920) 846-3444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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