IndividualActive
Walter Wagenknecht, MD
NPI 1063469419 · Diagnostic Radiology Physician · Brattleboro, VT
Provider details
- NPI number
- 1063469419
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0420010063 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17 Belmont Ave
Brattleboro, VT 05301-7601
Phone: (800) 655-3603
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 910
Greenfield, MA 01302-0910
Registry dates
- Enumerated
- 2006-05-30
- Last updated
- 2009-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.