Wagner, Richard K

Wagner, Richard K is an individual health care provider with primary practice located at 903 Mineral Point Ave , Janesville WI 53548-2970. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Wagner, Richard K can be contacted via phone (608) 756-5555.

Contact Information

Primary practice address
903 Mineral Point Ave Janesville WI 53548-2970
Phone: (608) 756-5555
Fax: (608) 756-0174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 64250-20 Wisconsin

Profile Details

NPI number 1184868598
LBN Legal business name Wagner, Richard K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Jul 14th, 2015 - about 9 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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