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

Lynn K Wagner, MD

Individual provider Emergency Medicine Physician · NPI 1164458899

Lynn K Wagner, MD is an Emergency Medicine Physician in De Pere, Wisconsin. Works from 2 locations. Licensed in California and Wisconsin.

Licensed in
CA, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

106 N Wisconsin St
De Pere, WI 54115
Phone: (920) 327-7056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 — (920) 288-4060

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 49400 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A89772 (CA)

Record details

NPI number1164458899
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESMay 22, 2018
Mailing address164 N Broadway, Green Bay, WI 54303-2728