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Albert Wagner
NPI 1568606689 · on the registry since 2009
Practice
- Address
- 750 Main St Ste 106
Mendota Heights, MN 55118 - Phone
- (651) 225-4327
- Organisation at this address
- D.W.Koski,Inc.
Histopathometrics
Paul R Wild Dds Pa
Healthenutrifit Llc
Mendota Heights Wp LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 205 Lewis St S, Shakopee, MN
- 19022 Freeport St Nw, Elk River, MN
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Also registered as
- 237600000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-24
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