Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH DINEEN WAGNER, M.D.
ActiveDR. KEITH DINEEN WAGNER, M.D. is a Dermatology healthcare provider located in APPLETON, Wisconsin. NPI 1760047112 is currently active in the NPPES registry. Verify at CMS.
Dermatology · APPLETON, WI
Registration Details
- NPI Number
- 1760047112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2019 (7.3060544031127 yrs)
- Last Updated
- Sep 11, 2023
- License
-
82425-20 (WI)
Practice Information
- Address
-
3935 N LIGHTNING DRAPPLETON, WI, 549136717Browse WI providers · Browse ZIP 54913
- Phone
- 9209681790
- Fax
- 9209681794
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in APPLETON, WI
| Name | Credential | NPI |
|---|---|---|
| MICHELLE D LEWIS | MD | 1801802046 |
| DR. CHARLES NORMAN KAGEN | M.D. | 1114015674 |
| DR. PETER J KATZ | MD | 1477725141 |
| NOAH ROBERT SMITH | MD | 1972863389 |
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.