Dr Thomas R Wagner, MD | |
1032 E Sumner St, Hartford, WI 53027 | |
(262) 673-2300 | |
(262) 673-5894 |
Full Name | Dr Thomas R Wagner |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1032 E Sumner St, Hartford, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033226071 | NPI | - | NPPES |
30887100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 16172 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas R Wagner, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Thomas R Wagner, MD 1032 E Sumner St, Hartford, WI 53027 Ph: (262) 673-2300 |
Kayla Chapman, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Bryan Edward Jewett, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 Fax: 262-670-4091 | |
Katelyn A Levene, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4420 |