Wagner, Brian Keith

Wagner, Brian Keith is an individual health care provider with primary practice located at 11 South Rd Lowr Level20 , Farmington CT 06032-2483. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Wagner, Brian Keith can be contacted via phone (860) 470-5703.

Contact Information

Primary practice address
11 South Rd Lowr Level20 Farmington CT 06032-2483
Phone: (860) 470-5703
Fax: (860) 606-8025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000793 Connecticut
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 000793 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000862 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000793 Connecticut

Profile Details

NPI number 1093743502
LBN Legal business name Wagner, Brian Keith
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Aug 20th, 2020 - about 4 years ago

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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