KEITH DINEEN WAGNER

APPLETON, WI
NPI1760047112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: WI  82425-20)
Enumeration Date2019-05-01
Last Update Date2023-09-11
Business Address
Dr. KEITH DINEEN WAGNER M.D.
3935 N LIGHTNING DR
APPLETON, WI 54913-6717
Phone number: 920-968-1790
Mailing Address
Dr. KEITH DINEEN WAGNER M.D.
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 920-663-9008