| Gretchen Wagner, | |
|
2088 Milwaukee Ave Ste 1, Burlington, WI 53105-7790 | |
| (262) 757-4131 | |
| Not Available |
| Full Name | Gretchen Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2088 Milwaukee Ave Ste 1, Burlington, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881151157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9090-33 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9090-33 (Wisconsin) | Primary |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen Wagner, 2088 Milwaukee Ave Ste 1, Burlington, WI 53105-7790 Ph: () - | Gretchen Wagner, 2088 Milwaukee Ave Ste 1, Burlington, WI 53105-7790 Ph: (262) 757-4131 |
Katie Dolezal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Ms. Ann M Thompson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-971-9500 | |
Brian A Schroeder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Magdalena Anna Horn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Michele G Fojas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6000 Fax: 262-767-6545 | |
Lisa L Bray, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-971-9200 | |
Corina E Beck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-741-2734 |