Search › Wisconsin › Dermatology Physician
Keith Wagner, M.D
NPI 1760047112 · on the registry since 2019
Practice
- Address
- 3935 N Lightning Dr
Appleton, WI 54913 - Phone
- (920) 968-1790
- Fax
- (920) 968-1794
- Organisation at this address
- Forefront Dermatology, S.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 2700 Crooks Ave Ste 101, Kaukauna, WI
Registry record
- Primary taxonomy
- Dermatology Physician
207N00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-11
- Status
- Not present in the most recent federal file
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