Lyle Walter Wagner III PHD, LP

  • NPI 1649683939
According to our database, the NPI number for Lyle Walter Wagner III PHD, LP is 1649683939 and activated since 9 years ago. Lyle Walter Wagner III PHD, LP is an individual provider who specializes in Clinical, and the primary practice location is 3907 Coon Rapids Blvd Nw, Coon Rapids, MN 55433. You can also contact Lyle Walter Wagner III PHD, LP via telephone number is (320) 629-7600. Provider NPI information was last updated on 06/04/2014.

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Overview of Lyle Walter Wagner III PHD, LP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/04/2014
  • Last updated: 06/04/2014

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 5751
  • License State: MN

Provider Mailing Address

  • Address: 220 Railroad St Se
    Pine City, MN 55063
  • Phone: 320-629-7600
  • Fax: 651-925-0071

Provider Practice Location

  • Address: 3907 Coon Rapids Blvd Nw
    Coon Rapids, MN 55433
  • Phone: 320-629-7600
  • Fax: 651-925-0071

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 5751
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lyle Walter Wagner III PHD, LP?
  • A: The npi number for Lyle Walter Wagner III PHD, LP is 1649683939.
  • Q: What are Lyle Walter Wagner III PHD, LP's specialties?
  • A: Lyle Walter Wagner III PHD, LP's specialties are Clinical and different specialities.
  • Q: What is the medical license for Lyle Walter Wagner III PHD, LP?
  • A: The medical license number for Lyle Walter Wagner III PHD, LP is 5751 and issued in MN in USA.
  • Q: Where is Lyle Walter Wagner III PHD, LP practice location?
  • A: Lyle Walter Wagner III PHD, LP is practicing at 3907 Coon Rapids Blvd Nw, Coon Rapids, MN 55433.
  • Q: How to contact Lyle Walter Wagner III PHD, LP?
  • A: You can contact Lyle Walter Wagner III PHD, LP via 320-629-7600.