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Richard K Wagner, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Janesville, Wisconsin
NPI 1184868598

Richard K Wagner is an Addiction Medicine (Psychiatry & Neurology) Physician based in Janesville, WI and is specialized in Addiction Medicine. Richard K Wagner practices in Janesville, WI and has the professional credentials of MD. The NPI Number for Richard K Wagner is 1184868598 and holds a License No. (Wisconsin).

The current practice location address for Richard K Wagner is 903 Mineral Point Ave, Janesville, WI and can be reached out via phone at 608-756-5555 and via fax at 608-756-0174. You can also correspond with Richard K Wagner through the mailing address at 903 MINERAL POINT AVE, JANESVILLE, WI - 53548-2970 (mailing address contact number: 608-756-5555).

Location: 903 Mineral Point Ave, Janesville, WI, 53548-2970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184868598
Provider Name
Richard K Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
903 Mineral Point Ave, Janesville, WI, 53548-2970
Phone Number
608-756-5555
Fax Number
608-756-0174
Provider Enumeration Date
04/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
903 Mineral Point Ave
City
Janesville
State
Wisconsin
Zip
53548-2970
Phone Number
608-756-5555
Fax Number
608-756-0174
person
Provider Business Mailing Address Details
Address
903 Mineral Point Ave
City
Janesville
State
Wisconsin
Zip
53548-2970
Phone Number
608-756-5555
Fax Number
608-756-0174
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
64250-20 (Wisconsin)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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