Eric Wagner, LPN | |
526 W Main St, Sparta, WI 54656-2146 | |
(608) 387-3586 | |
Not Available |
Full Name | Eric Wagner |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 526 W Main St, Sparta, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487043196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 309254-031 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Eric Wagner, LPN 526 W Main St, Sparta, WI 54656-2146 Ph: (608) 387-3586 | Eric Wagner, LPN 526 W Main St, Sparta, WI 54656-2146 Ph: (608) 387-3586 |
Naomi Leis, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-2817 | |
Jenna Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-2817 | |
Carly Jean Baker, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-3333 |