BRETT WAGNER
NPI 1578198461
Perfusionist in Milwaukee, WI

Active since March 11, 2020
8701 W WATERTOWN PLANK RD FL HUB5, MILWAUKEE, WI 53226(414) 955-6900(414) 955-0079 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Perfusionist

About BRETT WAGNER

This page provides the complete NPI Profile along with additional information for Brett Wagner, a provider established in Milwaukee, Wisconsin with a medical specialization in Perfusionist. The healthcare provider is registered in the NPI registry with number 1578198461 assigned on March 2020. The practitioner's primary taxonomy code is 242T00000X with license number 226-18 (WI). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1578198461 Verify this NPI
Provider Name
BRETT WAGNER
Gender
Male
Entity Type
Individual
Location Address
8701 W WATERTOWN PLANK RD FL HUB5 MILWAUKEE, WI 53226
Location Phone
(414) 955-6900
Location Fax
(414) 955-0079
Mailing Address
836 S 86TH ST WEST ALLIS, WI 53214
Is Sole Proprietor?
Yes
Enumeration Date
03-11-2020
Last Update Date
03-11-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Perfusionist

Taxonomy Code
242T00000X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
226-18
License State
WI
Taxonomy Description
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578198461, enumerated as an "individual" on March 11, 2020.

The provider is located at 8701 W WATERTOWN PLANK RD FL HUB5 MILWAUKEE, WI 53226 and the phone number is (414) 955-6900.

Perfusionist with taxonomy code 242T00000X.