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Dr. Peter Louis Wagner, DDS
Oral and Maxillofacial Surgery (Dentist) in Mequon, Wisconsin
NPI 1548356280

Peter Louis Wagner is a Oral and Maxillofacial Surgery (Dentist) based in Mequon, WI and is specialized in Oral and Maxillofacial Surgery. Peter Louis Wagner practices in Mequon, WI and has the professional credentials of DDS. The NPI Number for Peter Louis Wagner is 1548356280 and holds a License No. 5604-015 (Wisconsin).

The current practice location address for Peter Louis Wagner is 10535 N Port Washington Rd, Mequon, WI and can be reached out via phone at 262-241-0900 and via fax at 262-241-0904. You can also correspond with Peter Louis Wagner through the mailing address at 10535 N PORT WASHINGTON RD, MEQUON, WI - 53092-5583 (mailing address contact number: 262-241-0900).

Location: 10535 N Port Washington Rd, Mequon, WI, 53092-5583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548356280
Provider Name
Peter Louis Wagner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10535 N Port Washington Rd, Mequon, WI, 53092-5583
Phone Number
262-241-0900
Fax Number
262-241-0904
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10535 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-5583
Phone Number
262-241-0900
Fax Number
262-241-0904
person
Provider Business Mailing Address Details
Address
10535 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-5583
Phone Number
262-241-0900
Fax Number
262-241-0904
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5604-015 (Wisconsin)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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