COLTON JOHN WAGNER

LA CROSSE, WI
NPI1750873840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: WI  4336)
Enumeration Date2018-06-04
Last Update Date2018-06-04
Business Address
COLTON JOHN WAGNER PA-C
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
COLTON JOHN WAGNER PA-C
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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