JACOB TIMOTHY WAGNER

LA CROSSE, WI
NPI1790304442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: WI  1303)
Enumeration Date2020-04-13
Last Update Date2023-01-13
Business Address
JACOB TIMOTHY WAGNER DPM
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
JACOB TIMOTHY WAGNER DPM
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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