Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN J WAGNER
ActiveRYAN J WAGNER is a Sports Medicine (EM) healthcare provider located in APPLETON, Wisconsin. NPI 1275087207 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · APPLETON, WI
Registration Details
- NPI Number
- 1275087207
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2016 (10.00652563131 yrs)
- Last Updated
- Feb 29, 2024
- Licenses
-
68001 (WI)68001 (WI)
Practice Information
- Address
-
2400 E CAPITOL DRAPPLETON, WI, 549118728Browse WI providers · Browse ZIP 54911
- Phone
- 9204543300
- Fax
- 9205312098
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Orthopaedic Surgery
Other Sports Medicine (EM) Providers in APPLETON, WI
| Name | Credential | NPI |
|---|---|---|
| GREGORY Q SCHULTZ | LAT, ATC | 1942831086 |
| KATE DOBBERSTEIN | — | 1316568504 |
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.