NPI 1063469419

Walter Wagenknecht, MD

Practitioner Diagnostic Radiology Physician Brattleboro, VT

Practice location

Address: 17 Belmont Ave, Brattleboro, VT 05301-7601
Phone: (800) 655-3603
Mailing address: PO Box 910, Greenfield, MA 01302-0910

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 0420010063 (VT)

Other Radiology providers in Vermont →

Registry record

NPI: 1063469419
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2006
Record last updated: 30 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.