Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER LOUIS WAGNER, D.D.S.
Active Sole ProprietorDR. PETER LOUIS WAGNER, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in MEQUON, Wisconsin. NPI 1548356280 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MEQUON, WI
Registration Details
- NPI Number
- 1548356280
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.832567397527 yrs)
- Last Updated
- Jul 24, 2008
- License
-
5604-015 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10535 N PORT WASHINGTON RDSUITE 102MEQUON, WI, 530925583Browse WI providers · Browse ZIP 53092
- Phone
- 2622410900
- Fax
- 2622410904
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in MEQUON, WI
| Name | Credential | NPI |
|---|---|---|
| MARK J KORTEBEIN | DDS | 1336233790 |
| ALAN A KIMMEL | DDS | 1760576128 |
| SHEPPARD B MOLLICK | DMD | 1962596395 |
| DR. DYLAN STARCK | DMD, MD | 1417519331 |
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.