DR. James P Wagner, OD

NPI #1902026206 in Greendale, Wisconsin

Provider Information

NPI Number: 1902026206
Entity Type: Individual
Name: DR. James P Wagner, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 27, 2007
Last Updated: Jul 29, 2009

Practice Location

Address: 5300 S 76TH ST
Address 2: STE 690
City: Greendale
State: Wisconsin
ZIP Code: 53129-1102
Phone: (414) 855-0469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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