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Search › Wisconsin › 207PS0010X

Ryan Wagner

NPI 1275087207 · on the registry since 2016

Practice

Address
2400 E Capitol Dr
Appleton, WI 54911
Phone
(920) 454-3300
Fax
(920) 531-2098
Organisation at this address
Thedacare Regional Medical Center - Appleton, Inc
Thedacare Regional Medical Center - Appleton, Inc
Thedacare Regional Medical Center - Appleton, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Additional practice sites

  • 721 E Meadow Grove Blvd, Appleton, WI

Registry record

Primary taxonomy
207PS0010X
207PS0010X
Also registered as
207X00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin