Search › Minnesota › 183500000X

Michael Wagner

NPI 1326803818 · on the registry since 2024 · sole proprietor

Practice

Address
6941 Southdale Rd
Edina, MN 55435
Phone
(952) 250-1640

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-14

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 Minnesota