Jacob Timothy Wagner, DPM
Jacob Timothy Wagner, DPM is a Podiatry in LA Crosse, Wisconsin. Qualified in 2020, 6 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 6
- Licensed in
- WI
- In the registry since
- 2020
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
1836 S AveLA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 1303 (WI) |
|---|
Record details
| NPI number | 1790304442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | No |
| NPI enumerated | April 13, 2020 |
| Last updated in NPPES | January 13, 2023 |
| Certification date | January 13, 2023 |
| Mailing address | 1836 South Ave, La Crosse, WI 54601-5429 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in LA Crosse
-
Briana Lee Mahowald, DPM
800 W Ave S, LA Crosse, WI 54601-8806 · (608) 785-0940
-
Michael R Quinn, DPM
800 W Ave S, LA Crosse, WI 54601-8806 · (608) 392-9872
-
Heather Schaefbauer, DPM
800 W Ave S, LA Crosse, WI 54601 · (608) 785-0940
-
Devin C Simonson, DPM
1836 S Ave, LA Crosse, WI 54601-5429 · (608) 782-7300