NPI 1336727163
Andrew Jacob Wagoner, RRTNPS
Practice location
- Address
- 500 E Veterans St, Tomah, WI 54660-3105
- Phone
- (608) 372-3971
Registered specialties (3)
Registered Respiratory Therapist
Primary
Health Educator
Neonatal/Pediatric Registered Respiratory Therapist
Registry record
- NPI
- 1336727163
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Apr 2021
- Record last updated
- 28 Sep 2022
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.