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Individual
RYAN J WAGNER
Active
Individual
RYAN J WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
68001
WI
207X00000X
Orthopaedic Surgery Physician
68001
WI
Other
Enumeration date
08/08/2016
Last updated
02/29/2024
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