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Dr. Keith Dineen Wagner, M.D.

Dermatology Physician in Appleton, WI · enumerated 2019 · practices at Forefront Dermatology, S.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760047112

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Registry record

Entity type Individual (Type 1)
Name Dr. Keith Dineen Wagner
Credential M.D.
Sex Male
Practice address 3935 N Lightning Dr, Appleton, WI, 54913
Phone (920) 968-1790
Fax (920) 968-1794
Enumeration date May 1, 2019
Last updated in NPPES Sep 11, 2023

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 82425-20 (WI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Keith Wagner's NPI record?
Cross-check NPI 1760047112 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1760047112 active?
Yes, as of the latest NPPES snapshot, NPI 1760047112 is active (record last updated 2023-09-11).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-11.