Brett Wagner
Brett Wagner is a Perfusionist in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2020
Practice location Address checks out
8701 W Watertown Plank Rd Fl HUB5Milwaukee, WI 53226-3548
Phone: (414) 955-6900
Fax: (414) 955-0079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X · Licence 226-18 (WI) |
|---|
Record details
| NPI number | 1578198461 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2020 |
| Last updated in NPPES | March 11, 2020 |
| Certification date | March 11, 2020 |
| Mailing address | 836 S 86th St, West Allis, WI 53214-2905 |
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