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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER ANN WAGENER

Active Sole Proprietor

MRS. JENNIFER ANN WAGENER is a Podiatric Surgery healthcare provider located in RACINE, Wisconsin. NPI 1215586847 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · RACINE, WI

Registration Details

NPI Number
1215586847
Provider Type
Individual
Gender
Female
NPI Issued
Sep 6, 2019 (6.9490425970343 yrs)
Last Updated
Sep 6, 2019
Sole Proprietor
Yes

Practice Information

Address
1513 MELVIN AVE
RACINE, WI, 53402
Browse WI providers · Browse ZIP 53402
Phone
2626346020
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in RACINE, WI

Name Credential NPI
MRS. PATTI M MILLER 1477101046
JEANNETTE HERNANDEZ RN 1659042943
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.