BETH ELLEN WAGNER

LA CROSSE, WI
NPI1740660117
Former NameBETH ELLEN BOURNE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: WI  71316)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: MN  61229)
Enumeration Date2015-06-01
Last Update Date2022-08-10
Business Address
BETH ELLEN WAGNER M.D.
800 WEST AVE S
LA CROSSE, WI 54601-8806
Phone number: 608-785-0940
Mailing Address
BETH ELLEN WAGNER M.D.
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511