SERENA WAGONER

BEAVER DAM, WI
NPI1790314854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2080C0008X Pediatrics, Child Abuse Pediatrics
(Licence: WI  82110)
Enumeration Date2020-04-02
Last Update Date2026-06-01
Business Address
SERENA WAGONER DO
705 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3053
Phone number: 920-887-9272
Mailing Address
SERENA WAGONER DO
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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