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

Richard K Wagner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184868598

Richard K Wagner, MD is a Psychiatry in Janesville, Wisconsin. Qualified in 2008, 18 years ago. Licensed in Wisconsin.

Years since qualifying
18
Licensed in
WI
In the registry since
2009
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

903 Mineral Point Ave
Janesville, WI 53548-2970
Phone: (608) 756-5555
Fax: (608) 756-0174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X · Licence 64250-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184868598
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2009
Last updated in NPPESJuly 14, 2015

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesADDICTION MEDICINE, NEUROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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