Search › Wisconsin › 207RG0100X
Thomas Wagner, M.D
NPI 1861841488 · on the registry since 2016 · sole proprietor
Practice
- Address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226 - Phone
- (414) 805-2901
- Organisation at this address
- Medical College Of Wisconsin
Infinity Healthcare Physicians, S.C.
Wisconsin Diagnostic Laboratories Llc
Medical College Of Wi Affliated Hospitals
Froedtert Memorial Lutheran Hospital, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3,123
Additional practice sites
- 5841 S Maryland Ave Ste Mc7082, Chicago, IL
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
207R00000X - Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-20
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