Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD K WAGNER, MD
ActiveRICHARD K WAGNER, MD is a Addiction Psychiatry healthcare provider located in JANESVILLE, Wisconsin. NPI 1184868598 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · JANESVILLE, WI
Registration Details
- NPI Number
- 1184868598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2009 (17.31180228346 yrs)
- Last Updated
- Jul 14, 2015
- License
-
64250-20 (WI)
Practice Information
- Address
-
903 MINERAL POINT AVEJANESVILLE, WI, 535482970Browse WI providers · Browse ZIP 53548
- Phone
- 6087565555
- Fax
- 6087560174
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
- Additional Specialty
- Addiction Psychiatry
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.