Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN KEITH WAGNER, D.P.M.
ActiveDR. BRIAN KEITH WAGNER, D.P.M. is a Foot Surgery Podiatrist healthcare provider located in FARMINGTON, Connecticut. NPI 1093743502 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · FARMINGTON, CT
Registration Details
- NPI Number
- 1093743502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2006 (20.151337055929 yrs)
- Last Updated
- Aug 20, 2020
- Licenses
-
000793 (CT)000793 (CT)000862 (CT)000793 (CT)
Practice Information
- Address
-
11 SOUTH RD LOWR LEVEL20FARMINGTON, CT, 060322483Browse CT providers · Browse ZIP 06032
- Phone
- 8604705703
- Fax
- 8606068025
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.