Jill M Wagner is a Family Medicine in Brown Deer, Wisconsin. Jill M Wagner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jill M Wagner is 1699881425. The last update date is 2018-08-16.
Jill M Wagner's current location address is 9252 N Green Bay Rd, Brown Deer, Wisconsin. You can contact this provider via phone number 4145277500 and fax number 4143656320. The mailing address for Jill M Wagner is 9252 N Green Bay Rd, Brown Deer, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill M Wagner |
|---|---|
| Address | 9252 N Green Bay Rd, Brown Deer, Wisconsin |
| Phone Number | 4145277500 |
| Fax Number | 4143656320 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699881425 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2018-08-16 |
Provider Mailing Address Detail
| Address | 9252 N Green Bay Rd |
|---|---|
| City | Brown Deer |
| State | Wisconsin (WI) |
| Post Code | 532091104 |
| Phone Number | 4145277500 |
| Fax Number | 4143656320 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 40255 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34377700 | WI | -- |
Post Comment/ Review Below
What is the Jill M Wagner's unique identification number?
The Jill M Wagner has been assigned the NPI (National Provider Identifier) Number 1699881425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jill M Wagner's facilities are situated?
The facilities of Jill M Wagner are physically located at the following address: 9252 N Green Bay Rd, Brown Deer, WI, 532091104.
What is Jill M Wagner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jill M Wagner's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date was the 1699881425 assigned to Jill M Wagner?
The Jill M Wagner was issued its 1699881425 on 2006-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jill M Wagner most recently updated or refreshed?
The details pertaining to the Jill M Wagner, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-08-16.
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