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Dr. Brian Keith Wagner, DPM
Foot Surgery Podiatrist in Farmington, Connecticut
NPI 1093743502

Brian Keith Wagner is a Foot Surgery Podiatrist based in Farmington, CT and is specialized in Foot Surgery. Brian Keith Wagner practices in Farmington, CT and has the professional credentials of DPM. The NPI Number for Brian Keith Wagner is 1093743502 and holds a License No. 000793 (Connecticut).

The current practice location address for Brian Keith Wagner is 11 South Rd Lowr Level20, Farmington, CT and can be reached out via phone at 860-470-5703 and via fax at 860-606-8025.

Location: 11 South Rd Lowr Level20, Farmington, CT, 06032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093743502
Provider Name
Brian Keith Wagner
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
11 South Rd Lowr Level20, Farmington, CT, 06032
Phone Number
860-470-5703
Fax Number
860-606-8025
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11 South Rd Lowr Level20
City
Farmington
State
Connecticut
Zip
06032-2483
Phone Number
860-470-5703
Fax Number
860-606-8025
person
Provider Business Mailing Address Details
Address
11 South Rd Lowr Level20
City
Farmington
State
Connecticut
Zip
06032-2483
Phone Number
860-470-5703
Fax Number
860-606-8025
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
000793 (Connecticut)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
000862 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
000793 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
000793 (Connecticut)
Definition
Definition to come...
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