NPI 1578198461

Brett Wagner

Practitioner Perfusionist Milwaukee, WI

Practice location

Address: 8701 W Watertown Plank Rd Fl Hub5, Milwaukee, WI 53226-3548
Phone: (414) 955-6900
Fax: (414) 955-0079
Mailing address: 836 S 86th St, West Allis, WI 53214-2905

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 226-18 (WI)

Other Perfusionist providers in Wisconsin →

Registry record

NPI: 1578198461
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Mar 2020
Record last updated: 11 Mar 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.