JOE J WANGERIN, PHYSICIAN ASSISTANT, Medical PORTAGE, WI

Contact Information

JOE J WANGERIN, PHYSICIAN ASSISTANT

2977 COUNTY HWY CX
PORTAGE, WI 53901

Phone: 608-742-3004
Fax: 608-833-5039
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JOE J WANGERIN · (Male)

NPI #	`1437389251`
Status	Active
Credentials	PHYSICIAN ASSISTANT
Entity	Individual
Enumeration date	07/15/2009
Last updated	01/20/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	WI License # 3380-23
Hospital affiliation(s)	DIVINE SAVIOR HLTHCARE - (Acute Care) 2817 NEW PINERY ROAD PORTAGE, WI 53901 UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care) 600 HIGHLAND AVENUE MADISON, WI 53792

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JOE J WANGERIN, PHYSICIAN ASSISTANT – NPI #1437389251Medical

Contact Information

Specialty

Medical

NPI Profile & details for JOE J WANGERIN · (Male)

Reviews for JOE J WANGERIN

JOE J WANGERIN, PHYSICIAN ASSISTANT – NPI #1437389251
Medical