Wagner, Ryan J
Wagner, Ryan J is an individual health care provider with primary practice located at 2400 E Capitol Dr , Appleton WI 54911-8728. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wagner, Ryan J can be contacted via phone (920) 454-3300.Contact Information
Primary practice address
2400 E Capitol Dr
Appleton WI 54911-8728
Phone: (920) 454-3300
Fax: (920) 531-2098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 68001 | Wisconsin |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 68001 | Wisconsin |
Profile Details
| NPI number | 1275087207 |
|---|---|
| LBN Legal business name | Wagner, Ryan J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2016 |
| Last updated | Feb 29th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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