Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas Rudolph Wagner, MD

Individual provider Internal Medicine Physician · NPI 1861841488

Dr. Thomas Rudolph Wagner, MD is a Gastroenterology in Milwaukee, Wisconsin. Graduated from Medical College of Wisconsin in 2016, 10 years ago. Practices with Froedtert South Inc, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
10
Trained at
Medical College of Wisconsin
Licensed in
IL, WI
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-2901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 — (773) 702-6840

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 70438-20 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.068981 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 70438-20 (WI)

Record details

NPI number1861841488
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 4, 2016
Last updated in NPPESNovember 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2016 (10 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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