Wagenaar, Gary Allen

Wagenaar, Gary Allen is an individual health care provider with primary practice located at 1000 1St Dr Nw , Austin MN 55912-2941. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wagenaar, Gary Allen can be contacted via phone (507) 434-1928.

Contact Information

Primary practice address
1000 1St Dr Nw Austin MN 55912-2941
Phone: (507) 434-1928
Fax: (507) 434-1927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300609 Minnesota

Profile Details

NPI number 1851683049
LBN Legal business name Wagenaar, Gary Allen
Credentials MS LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2011
Last updated May 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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