Jacob Timothy Wagner is a La Crosse, Wisconsin based male podiatrist who is specialized in Podiatry. Active license number of Jacob Timothy Wagner for Podiatry is 1303 in Wisconsin. Jacob Timothy Wagner is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Jacob Timothy Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
1836 South Ave, La Crosse, Wisconsin, 54601-5429
Phone:
608-782-7300
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1790304442
NPI Enumeration Date:
13 Apr, 2020
NPI Last Update On:
13 Jan, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Timothy Wagner are as mentioned below.
License Number
Specialization
State
Status
1303
Podiatry
Wisconsin
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1836 South Ave, La Crosse, Wisconsin
Zip:
54601-5429
Phone Number:
608-782-7300
Fax Number:
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Patients can reach Jacob Timothy Wagner at 1836 South Ave, La Crosse, Wisconsin or can call to book an appointment on 608-782-7300. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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