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

Michael R Magoline, MD

Individual provider Orthopaedic Surgery Physician · NPI 1154412302

Michael R Magoline, MD is an Orthopedic Surgery in Fond Du Lac, Wisconsin. Qualified in 1993, 33 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in Ohio and Wisconsin.

Years since qualifying
33
Licensed in
OH, 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.

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Practice location Address checks out

421 Camelot Dr
Fond Du Lac, WI 54935-8335
Phone: (920) 926-8616
Fax: (920) 926-8098
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 82106-20 (WI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 35-071501 (OH)

Record details

NPI number1154412302
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023
Mailing address1808 W Beltline Hwy, Ssm Health Fdlregional Clinic Attn: Nancy Pierce, Madison, WI 53713-2334

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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