PHILIP WAGENBACH, PA-C

PA-C

Medical Physician Assistant

NPI: 1790797116IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

001695(CT)

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

055-0031268(VT)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2005

Contact & Hours

Address: 275 ROUTE 30 N
BOMOSEEN, VT 05732
Phone: (802) 468-5641

Location

Practice Location

275 ROUTE 30 N, BOMOSEEN, VT

Quick Facts

NPI: 1790797116
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 21

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