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Individual

RYAN J WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 454-3300
(920) 531-2098
Mailing address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 831-5050

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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