PETER LOUIS WAGNER

MEQUON, WI
NPI1548356280
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI  5604-015)
Enumeration Date2006-10-04
Last Update Date2008-07-24
Business Address
Dr. PETER LOUIS WAGNER D.D.S.
10535 N PORT WASHINGTON RD SUITE 102
MEQUON, WI 53092-5583
Phone number: 262-241-0900
Mailing Address
Dr. PETER LOUIS WAGNER D.D.S.
10535 N PORT WASHINGTON RD SUITE 102
MEQUON, WI 53092-5583
Phone number: 262-241-0900
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