Dr. Timothy John Wagner , DC, BS
Chiropractor • Appleton, WI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Timothy Wagner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Timothy Wagner, DC, BS was a registered Chiropractor practicing in Appleton, WI. Throughout an active medical career spanning 1 years, Dr. Wagner provided care at the practice location at 118 N DURKEE ST until profile deactivation on 2006-03-24.
Practice Location & Contact Primary Location
118 N Durkee St
Appleton, WI 549115427
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Appleton, WI
Practicing in Appleton, WI (2664 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 118 N DURKEE ST, APPLETON, WI 549115427 (Tel: 9208302225)
Registered at 118 N DURKEE ST, APPLETON, WI 549115427 (Tel: 9208302225)
Recorded as TIMOTHY WAGNER, D.C., B.S.
Chiropractor (License #4002-012 in WI)
Record officially reactivated for active practice on April 05, 2006
Record deactivated on March 24, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
118 N Durkee St
Appleton, WI 549115427
Phone: 9208302225
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