SearchWisconsin101YP2500X

Allen Wagner, MS

NPI 1952468936 · on the registry since 2007

Practice

Address
421 22nd St S
La Crosse, WI 54601
Phone
(608) 782-4575

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-01-04

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