| Eric Wagner, LPN | |
|
526 W Main St, Sparta, WI 54656-2146 | |
| (608) 387-3586 | |
| Not Available |
| Full Name | Eric Wagner |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 526 W Main St, Sparta, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487043196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 309254-031 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Wagner, LPN 526 W Main St, Sparta, WI 54656-2146 Ph: (608) 387-3586 | Eric Wagner, LPN 526 W Main St, Sparta, WI 54656-2146 Ph: (608) 387-3586 |
Naomi Leis, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-2817 | |
Jenna Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-2817 | |
Carly Jean Baker, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 N Court St, Sparta, WI 54656 Phone: 608-633-3333 |