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Search › Connecticut › 152W00000X

Thomas Wagner, OD MS

NPI 1114993789 · on the registry since 2006

Practice

Address
12 Roosevelt Ave
Mystic, CT 06355
Phone
(860) 536-1313
Fax
(860) 572-7770
Organisation at this address
Natura Medica
Wise Mind, Llc
Optimystic Llc
Laserwave Podiatry
Ease Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut