National Provider Identifier Database

LYNN K WAGNER, MD – NPI #1164458899
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

LYNN K WAGNER, MD
106 N WISCONSIN ST
DE PERE, WI54115
Phone: 920-327-7056
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for LYNN K WAGNER

NPI Number 1164458899
Credentials MD
Entity Individual
Enumeration date 06/24/2006
Last updated 05/22/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A89772
  • WI License #: 49400
  • MI Medicaid: 104894116
  • WI Medicaid: 34870800
  • WI Other: P00355797 RAILROAD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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