Wagman, Gregory John

Wagman, Gregory John is an sole proprietor health care provider with primary practice located at 4010 W 65Th St , Edina MN 55435-1706. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant. Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant is his primary health care specialty. Wagman, Gregory John can be contacted via phone (952) 456-7000.

Contact Information

Primary practice address
4010 W 65Th St Edina MN 55435-1706
Phone: (952) 456-7000
Fax: (952) 456-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant 246ZX2200X

Profile Details

NPI number 1952314379
LBN Legal business name Wagman, Gregory John
Credentials OPA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Apr 27th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952314379 NPPES
Other HP34969 HEALTHPARTNER

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