SearchWisconsin124Q00000X

Jennifer Wagner

NPI 1871166066 · on the registry since 2021

Practice

Address
8369 S 76th St
Franklin, WI 53132
Phone
(414) 690-9437

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-23

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