Search › Minnesota › 207R00000X
Jacob Wagner, M.D
NPI 1700266079 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2450 Riverside Ave
Minneapolis, MN 55454 - Phone
- (612) 672-6000
- Organisation at this address
- Fairview
Fairview
Gregory M Amer Md
Fairview Express Care
Fairview Express CareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,416
Additional practice sites
- D638 Mayo Building, Minneapolis, MN
- 705 Riley Hospital Dr, Indianapolis, IN
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
208000000X
208000000X - Licence states on file
- IN, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-22
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