Individual
DR. KEITH DINEEN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3935 N LIGHTNING DR, APPLETON, WI 54913-6717
(920) 968-1790
(920) 968-1794
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
82425-20
WI
Other
Enumeration date
05/01/2019
Last updated
09/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us