Wagner, Amy J

Wagner, Amy J is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Surgery, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Wagner, Amy J can be contacted via phone (414) 266-6550.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Surgery Milwaukee WI 53226-4874
Phone: (414) 266-6550
Fax: (414) 266-6579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 52990 Wisconsin

Profile Details

NPI number 1134263619
LBN Legal business name Wagner, Amy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Mar 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134263619 NPPES
Wisconsin MEDICAID 1134263619

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