| Dr Thomas R Wagner, MD | |
|
1032 E Sumner St, Hartford, WI 53027 | |
| (262) 673-2300 | |
| (262) 673-5894 |
| Full Name | Dr Thomas R Wagner |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1032 E Sumner St, Hartford, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033226071 | NPI | - | NPPES |
| 30887100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 16172 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas R Wagner, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Thomas R Wagner, MD 1032 E Sumner St, Hartford, WI 53027 Ph: (262) 673-2300 |
Kayla Chapman, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Bryan Edward Jewett, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 Fax: 262-670-4091 | |
Katelyn A Levene, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4420 |