Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILIP WAGENBACH, PA-C
ActiveMR. PHILIP WAGENBACH, PA-C is a Medical Physician Assistant healthcare provider located in BOMOSEEN, Vermont. NPI 1790797116 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BOMOSEEN, VT
Registration Details
- NPI Number
- 1790797116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2006 (19.964153768149 yrs)
- Last Updated
- Oct 5, 2015
- Licenses
-
001695 (CT)055-0031268 (VT)
Practice Information
- Address
-
275 ROUTE 30 NBOMOSEEN, VT, 057329647Browse VT providers · Browse ZIP 05732
- Phone
- 8024685641
- Fax
- 8024682923
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in BOMOSEEN, VT
| Name | Credential | NPI |
|---|---|---|
| PAULINE KAHNG | PA | 1396748489 |
| MS. SARAH STORK TATKO | PA | 1598908683 |
| KATELYN DORAN BELDEN | PA-C | 1659713683 |
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.