FAITH P WAGNER

LA CROSSE, WI
NPI1841295987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  1778)
Enumeration Date2005-06-16
Last Update Date2014-06-16
Business Address
-- FAITH P WAGNER NP
2500 STATE RD
LA CROSSE, WI 54601-5098
Phone number: 608-775-5858
Mailing Address
-- FAITH P WAGNER NP
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300