Wagner, Christopher T
Wagner, Christopher T is an individual health care provider with primary practice located at 2000 E Milestone Dr , Appleton WI 54913-6701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wagner, Christopher T can be contacted via phone (920) 731-8131.Contact Information
Primary practice address
2000 E Milestone Dr
Appleton WI 54913-6701
Phone: (920) 731-8131
Fax: (920) 832-0444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 42414 | Wisconsin |
Profile Details
| NPI number | 1528053758 |
|---|---|
| LBN Legal business name | Wagner, Christopher T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 18th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528053758 | NPPES |
| Wisconsin | MEDICAID | 33333300 |
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