Wagner, Jill M
Wagner, Jill M is an individual health care provider with primary practice located at 9252 N Green Bay Rd , Brown Deer WI 53209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wagner, Jill M can be contacted via phone (414) 527-7500.Contact Information
Primary practice address
9252 N Green Bay Rd
Brown Deer WI 53209
Phone: (414) 527-7500
Fax: (414) 365-6320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40255 | Wisconsin |
Profile Details
| NPI number | 1699881425 |
|---|---|
| LBN Legal business name | Wagner, Jill M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Aug 16th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699881425 | NPPES |
| Wisconsin | MEDICAID | 34377700 |
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