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Philip Wagenbach, PA-C
NPI 1790797116 · on the registry since 2006
Practice
- Address
- 275 Route 30 N
Bomoseen, VT 05732 - Phone
- (802) 468-5641
- Fax
- (802) 468-2923
- Organisation at this address
- Jms Pharmacy Management Inc
Rutland Region Collaborative Aco, Llc
Community Health Centers Of The Rutland Region, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Physician Assistant
- Licence states on file
- CT, VT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-05
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 Vermont