Wagner, Stephen R

Wagner, Stephen R is an individual health care provider with primary practice located at 333 Smith Ave N , Saint Paul MN 55102-2344. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Wagner, Stephen R can be contacted via phone (651) 735-0501.

Contact Information

Primary practice address
333 Smith Ave N Saint Paul MN 55102-2344
Phone: (651) 735-0501
Fax: (651) 735-1870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35533 Minnesota
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 35533 Minnesota
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 35533 Minnesota

Profile Details

NPI number 1063524387
LBN Legal business name Wagner, Stephen R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 24th, 2025 - about last year

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 1063524387 NPPES
Minnesota MEDICAID 386213500

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