MEDICARE: MATTHEW WAGNER CA.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	761-55	WI

General Provider Information

NPI Number	:	1538534334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW WAGNER CA.

Provider Business Mailing Address
First Line	:	4513 VERNON BLVD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-4993
Country	:	US
Telephone Number	:	608-698-5687
Fax Number	:

Provider Business Practice Location Address
First Line	:	4513 VERNON BLVD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-4993
Country	:	US
Telephone Number	:	608-698-5687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2015
Last Update Date	:	12/04/2015

Similar Medicare Providers

1710503131 — LEAH ANN MEYERHOFER
Practice Location Address:

4513 VERNON BLVD
MADISON, WI
53705-4993

Practice Phone: 608-236-4460
Practice Fax: 608-236-4461

1053314344 — DR. GORDON I HERZ PHD
Practice Location Address:

478 COMMERCE DR , STE 204
MADISON, WI
53719-4993

Practice Phone: 608-833-7533
Practice Fax:

1336362946 — FORWARD PSYCHOLOGY GROUP, LLC
Practice Location Address:

478 COMMERCE DR
MADISON, WI
53719-4993

Practice Phone: 608-833-7533
Practice Fax:

1235660812 — ERICA E.S. SWENSON MD
Practice Location Address:

4410 REGENT ST
MADISON, WI
53705-4901

Practice Phone: 608-233-9746
Practice Fax: 608-233-0026

1871090142 — JONATHAN WILLIAM THOMA MD
Practice Location Address:

4410 REGENT ST
MADISON, WI
53705-4901

Practice Phone: 608-233-9746
Practice Fax: 608-233-0026

1457664385 — NICOLE LEIGH ERTL M.D.
Practice Location Address:

4410 REGENT ST
MADISON, WI
53705-4901

Practice Phone: 608-233-9746
Practice Fax: 608-233-0026

Directions to “ MATTHEW WAGNER CA.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.