MEDICARE: ROBERT WAGNER

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	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1194266734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT WAGNER

Provider Business Mailing Address
First Line	:	15 MISERY MOUNTAIN LN
Second Line	:
City	:	CROYDON
State	:	NH
Zip	:	03773-6617
Country	:	US
Telephone Number	:	603-443-0290
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 MISERY MOUNTAIN LN
Second Line	:
City	:	CROYDON
State	:	NH
Zip	:	03773-6617
Country	:	US
Telephone Number	:	603-443-0290
Fax Number	:

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

Provider Enumeration Date	:	03/15/2017
Last Update Date	:	03/15/2017

Similar Medicare Providers

1578857710 — MRS. ERIN HEATHER DAMREN LSW-C
Practice Location Address:

919 NH ROUTE 10
CROYDON, NH
03773-6104

Practice Phone: 207-504-2507
Practice Fax:

1710495890 — SWIFT AMBULANCE SERVICE
Practice Location Address:

49 LOVERIN HILL RD
CROYDON, NH
03773-6132

Practice Phone: 413-531-4960
Practice Fax:

1700099488 — CROYDON SCHOOL DISTRICT
Practice Location Address:

9 DEPOT STREET
NEWPORT, NH
03773

Practice Phone: 603-863-3540
Practice Fax:

1265636286 — DR. DOUGLAS DORR PARR PHARM.D.
Practice Location Address:

ONE MEDICAL CENTER DRIVE , DARTMOUTH-HITCHCOCK MEDICAL CENTER
LEBANON, NH
03756

Practice Phone: 603-650-7362
Practice Fax: 603-650-4454

1912190893 — SARAH C. AUSTIN
Practice Location Address:

9 HANOVER ST , SUITE 2
LEBANON, NH
03766-1312

Practice Phone: 603-448-0126
Practice Fax:

1316942030 — DAVID M HERSON MD
Practice Location Address:

21756 STATE ROAD 54 , SUITE 102A
LUTZ, FL
33549-2905

Practice Phone: 813-443-5817
Practice Fax: 813-443-5818

Directions to “ ROBERT WAGNER ” 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 © 2007-2026 (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.