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1316328602
THOMAS WAGNER
EAU CLAIRE, WI
NPI
1316328602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3538)
Enumeration Date
2015-06-12
Last Update Date
2021-08-11
Business Address
THOMAS WAGNER PA-C
1221 WHIPPLE ST
EAU CLAIRE, WI 54703
Phone number: 715-838-5222
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Mailing Address
THOMAS WAGNER PA-C
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 715-838-5222
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