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Deactivated NPI 1679573562 Deactivated / Inactive NPI Male Practitioner

Dr. Marvin Wagner , MD

Surgery • Milwaukee, 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. Marvin Wagner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 21, 2005
NPI Deactivation Date January 07, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Marvin Wagner, MD was a registered Surgery practicing in Milwaukee, WI. Throughout an active medical career spanning 14 years, Dr. Wagner provided care at the practice location at 5150 N PORT WASHINGTON RD until profile deactivation on 2019-01-07.

Practice Location & Contact Primary Location

Practice Address

5150 N Port Washington Rd
Suite 151

Milwaukee, WI 53217

Telephone 4143321000
Fax 4143321005
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
113 Specialists

Practicing in Milwaukee, WI (765 Statewide)

Telehealth Adoption Rate
11.5% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 9425

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1063597540

Doctor of Medicine (M.D.)

NPI 1073513974

Doctor of Medicine (M.D.)

NPI 1437159399

Doctor of Medicine (M.D.)

NPI 1841299773

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 07, 2019

Record deactivated on January 07, 2019

NPI Profile Active March 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 18, 2008

Registered at 5150 N PORT WASHINGTON RD, SUITE 151, MILWAUKEE, WI 53217 (Tel: 4143321000)

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Updated Business Mailing Address March 18, 2008

Registered at 5150 N PORT WASHINGTON RD, SUITE 151, MILWAUKEE, WI 532175474 (Tel: 4143321000)

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Provider Name / Credentials Updated March 18, 2008

Recorded as MARVIN WAGNER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2008

Surgery (License #9425 in WI)

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Initial NPI Registration & Enumeration July 21, 2005

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: 1679573562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2005
Last Update: March 18, 2008
Deactivation Date: January 07, 2019

Mailing Address

5150 N Port Washington Rd, Suite 151

Milwaukee, WI 532175474

Phone: 4143321000

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.