SearchSouth Dakota183500000X

Dustin Wagner

NPI 1295335792 · on the registry since 2020 · sole proprietor

Practice

Address
1200 N Lacrosse St
Rapid City, SD 57701
Phone
(605) 342-0881
Organisation at this address
Walmart Inc.
Walmart Inc.
Robert B Wilson Pc
National Vision, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota