RICHARD D WAGNER

GRAFTON, WI
NPI1225103476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  5865024)
Enumeration Date2006-11-22
Last Update Date2008-01-30
Business Address
Mr. RICHARD D WAGNER PT CSCS VCS
2020 CHEYENNE CT
GRAFTON, WI 53024-0368
Phone number: 262-375-1075
Mailing Address
Mr. RICHARD D WAGNER PT CSCS VCS
1710 MALIBU DR
CEDARBURG, WI 53012-9713
Phone number: 262-618-4787
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