Mary D Wagner

  • NPI 1093792822
According to our database, the NPI number for Mary D Wagner is 1093792822 and activated since 18 years ago. Mary D Wagner is an individual provider who specializes in Family Medicine, and the primary practice location is 6600 Excelsior Blvd, St Louis Park, MN 55426. You can also contact Mary D Wagner via telephone number is (952) 993-7707. Provider NPI information was last updated on 03/08/2012.

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Overview of Mary D Wagner

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/22/2005
  • Last updated: 03/08/2012

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 36748
  • License State: MN

Provider Mailing Address

  • Address: 3800 Park Nicollet Blvd
    Credentialing
    Minneapolis, MN 55416
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 6600 Excelsior Blvd
    Ste 160
    St Louis Park, MN 55426
  • Phone: 952-993-7707
  • Fax:

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 36748
  • 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 Mary D Wagner?
  • A: The npi number for Mary D Wagner is 1093792822.
  • Q: What are Mary D Wagner's specialties?
  • A: Mary D Wagner's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Mary D Wagner?
  • A: The medical license number for Mary D Wagner is 36748 and issued in MN in USA.
  • Q: Where is Mary D Wagner practice location?
  • A: Mary D Wagner is practicing at 6600 Excelsior Blvd, St Louis Park, MN 55426.
  • Q: How to contact Mary D Wagner?
  • A: You can contact Mary D Wagner via 952-993-7707.
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