Search › Wisconsin › 1223S0112X
Richard Wagner, DDS
NPI 1770700957 · on the registry since 2007
Practice
- Address
- 1925 South Green Bay Rd
Racine, WI 53406 - Phone
- (262) 634-4646
- Fax
- (262) 634-4694
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin