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Deactivated NPI 1568437622 Deactivated / Inactive NPI Male Practitioner

Dr. W David Wacker , MD

Dermatology • Menomonee Falls, WI

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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. W Wacker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 22, 2006
NPI Deactivation Date January 03, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. W Wacker, MD was a registered Dermatology practicing in Menomonee Falls, WI. Throughout an active medical career spanning 14 years, Dr. Wacker provided care at the practice location at W180N7950 TOWN HALL RD until profile deactivation on 2020-01-03.

Practice Location & Contact Primary Location

Practice Address

W180n7950 Town Hall Rd

Menomonee Falls, WI 530514049

Telephone 2622552500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Menomonee Falls, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Menomonee Falls, WI (337 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WI 28111

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Marie Zeidler , PA-C

Physician Assistant

NPI 1003068495

Physician Assistant (Certified)

Sandra Busse , PT

Physical Therapist

NPI 1013153956

Physical Therapist

Dr. Melissa Earnest , MD

Internal Medicine - Gastroenterology

NPI 1023154903

Doctor of Medicine (M.D.)

NPI 1043527088

Doctor of Pharmacy (Pharm.D.)

NPI 1053168880

AGPCNPBC, Advanced Practice Nurse Prescriber

NPI 1063452613

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 03, 2020

Record deactivated on January 03, 2020

NPI Profile Active October 07, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 07, 2010

Registered at W180N7950 TOWN HALL RD, MENOMONEE FALLS, WI 530514049 (Tel: 2622552500)

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Updated Business Mailing Address October 07, 2010

Registered at W180N7950 TOWN HALL RD, MENOMONEE FALLS, WI 530514049 (Tel: 2622552500)

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Provider Name / Credentials Updated October 07, 2010

Recorded as W WACKER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2010

Dermatology (License #28111 in WI)

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Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568437622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: October 07, 2010
Deactivation Date: January 03, 2020

Mailing Address

W180n7950 Town Hall Rd

Menomonee Falls, WI 530514049

Phone: 2622552500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.