Ryan J Wagner
Ryan J Wagner is a Sports Medicine in Appleton, Wisconsin. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2014, 12 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 12
- Trained at
- Midwestern University, Chicago College of Osteopathic Med
- Licensed in
- WI
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
2400 E Capitol DrAppleton, WI 54911-8728
Phone: (920) 454-3300
Fax: (920) 531-2098
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 721 E Meadow Grove Blvd, Appleton, WI 54915-4509 — (920) 585-2839
Specialties & licences
| Sports Medicine (Emergency Medicine) Physician (primary) | Taxonomy 207PS0010X · Licence 68001 (WI) |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 68001 (WI) |
Record details
| NPI number | 1275087207 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 8, 2016 |
| Last updated in NPPES | February 29, 2024 |
| Certification date | February 29, 2024 |
| Mailing address | 2400 E Capitol Dr, Appleton, WI 54911-8728 |
Medicare enrollment
| Medicare specialty | SPORTS MEDICINE |
|---|---|
| Also practises | EMERGENCY MEDICINE, ORTHOPEDIC SURGERY |
| Medical school | MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED |
| Graduated | 2014 (12 years in practice) |
| Group practice | Thedacare, Incorporated — 654 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Appleton
-
Kate Dobberstein
2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862 · (920) 216-6171
-
Gregory Q Schultz, LAT, ATC
1531 S Madison St Fl 4, Appleton, WI 54915-1800 · (920) 840-0552