NPI 1235225459

Jacob Levi Wagner, MD

Practitioner Surgery Physician Dubuque, IA

Practice location

Address: 1515 Delhi St Suite 200, Dubuque, IA 52001-6320
Phone: (563) 557-7000
Fax: (563) 589-4050

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 37907 (IA)

Other Surgery providers in Iowa →

Registry record

NPI: 1235225459
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2006
Record last updated: 14 Oct 2020

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.