Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD M WAGNER, DDS
ActiveDR. RICHARD M WAGNER, DDS is a Oral & Maxillofacial Surgery healthcare provider located in RACINE, Wisconsin. NPI 1770700957 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · RACINE, WI
Registration Details
- NPI Number
- 1770700957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.365887714829 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3092 (WI)
Practice Information
- Address
-
1925 SOUTH GREEN BAY RDRACINE, WI, 534064654Browse WI providers · Browse ZIP 53406
- Phone
- 2626344646
- Fax
- 2626344694
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in RACINE, WI
| Name | Credential | NPI |
|---|---|---|
| DR. DON LOUIS SELMO | DDS | 1831275312 |
| MR. DONALD EDWARD ROMSA | DDS | 1437218302 |
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.