Individual provider · Type 1 NPI

Colton John Wagner, PA-C

Surgical Physician Assistant · La Crosse, WI

NPI number 1750873840 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4336 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1750873840

Colton John Wagner, PA-C's National Provider Identifier is 1750873840, issued on Jun 4, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Crosse, WI. The record was last updated on Jun 4, 2018.