Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY JOHN WAGNER, D.C., B.S.
DeactivatedChiropractor · APPLETON, WI
This NPI has been deactivated.
The record was deactivated on March 24, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1215923156
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2005 (0.49041095890411 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 24, 2006
- License
-
4002-012 (WI)
Practice Information
- Address
-
118 N DURKEE STAPPLETON, WI, 549115427Browse WI providers · Browse ZIP 54911
- Phone
- 9208302225
- Fax
- 9208302221
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in APPLETON, WI
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL RYAN WAGNER | D.C. | 1740283183 |
| DR. JODY MICHELLE WAGNER | D.C. | 1487656799 |
| DR. MEGAN ELIZABETH GORDLEY | DC | 1356333447 |
| MRS. JUDY F ELLEFSON PEIL | — | 1770578106 |
| DR. THOMAS ALBERT GAUTHIER | D.C. | 1982699914 |
| DR. SEAN C DUFFY | D.C. | 1083682348 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.