Individual provider · Type 1 NPI

Keith Dineen Wagner, MD

Dermatology Physician · Appleton, WI

NPI number 1760047112 Active

Practice location

3935 N Lightning Dr
Appleton, WI 54913-6717

Fax (920) 968-1794

Mailing address

801 York St
Manitowoc, WI 54220-4630

Other practice locations

  • 2700 Crooks Ave Ste 101, Kaukauna, WI 54130-3900 · (920) 581-5561

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X82425-20 (WI)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1760047112

Keith Dineen Wagner, MD's National Provider Identifier is 1760047112, issued on May 1, 2019. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Appleton, WI. The record was last updated on Sep 11, 2023.