| Doctor Name: | WILLIAM G WAGNER |
| NPI Number: | 1063473692 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 17431020 |
| Business Practice Address: | 1601 N Taylor Dr Sheboygan, WI - 530811930 |
| Business Phone Number: | 9204598300 |
| Business Fax Number: | |
| Mailing Address: | 2108 Kohler Memorial Dr, Ste 101 SHEBOYGAN |
| State: | WI |
| Postal Code: | 530813100 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | 17431020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |