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1326085507
AMY NICOLE WAGNER
MADISON, WI
NPI
1326085507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 1704-023)
Enumeration Date
2006-05-31
Last Update Date
2017-04-13
Business Address
-- AMY NICOLE WAGNER PA
675 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-257-9700
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Mailing Address
-- AMY NICOLE WAGNER PA
675 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-257-9700
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