Active NPIIndividual provider

Walter Wagenknecht, MD

Radiology, Diagnostic Radiology in Brattleboro, Vermont

NPI Number1063469419
Practice location
17 Belmont Ave, Brattleboro, VT 05301-7601
Fax
—
Last updated
January 30, 2009

Walter Wagenknecht is a Radiology, Diagnostic Radiology based in Brattleboro, VT. Walter Wagenknecht practices in Brattleboro, VT and has the professional credentials of MD. The NPI Number for Walter Wagenknecht is 1063469419 and holds a License No. 0420010063 (VT). The current practice location address for Walter Wagenknecht is 17 Belmont Ave, Brattleboro, VT 05301-7601 and can be reached out via phone at 800-655-3603.

Provider Profile Details

NPI Number
1063469419
Provider Name
Walter Wagenknecht
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17 Belmont Ave, Brattleboro, VT 05301-7601
Phone Number
800-655-3603
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2006
Last Update Date
January 30, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Belmont Ave
Brattleboro, VT 05301-7601
State
Vermont
Zip
05301-7601
Phone Number
800-655-3603
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
Po Box 910
Greenfield, MA 01302-0910
City
Greenfield
State
MA
Zip
01302-0910
Phone Number
413-772-8500
Fax Number
413-772-8900

License Information

License Number
0420010063
License State
VT
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Walter Wagenknecht, MD?

The NPI number of Walter Wagenknecht, MD is 1063469419. It was assigned on May 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Walter Wagenknecht, MD?

Walter Wagenknecht, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in VT under license number 0420010063.

Where does Walter Wagenknecht, MD practice?

The practice location is 17 Belmont Ave, Brattleboro, VT 05301-7601. The office can be reached at 800-655-3603 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063469419 directly on the NPPES registry website.

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