| Dr Jacob Ryan Wagner, DDS | |
|
8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 | |
| (608) 206-9268 | |
| Not Available |
| Full Name | Dr Jacob Ryan Wagner |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 8201 Mish Ko Swen Dr, Crandon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538017140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6002171-15 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Ryan Wagner, DDS 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 Ph: (608) 206-9268 | Dr Jacob Ryan Wagner, DDS 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 Ph: (608) 206-9268 |
Dr. Eve Louise Van Harpen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4338 | |
Jeffrey D Nielsen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3144 Van Zile Rd., Crandon, WI 54520 Phone: 715-478-5180 | |
Mr. Kirk R Ritchie, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 Phone: 715-478-4300 Fax: 715-478-4490 |