Wagner, William E

Wagner, William E is an individual health care provider with primary practice located at 800 E 28Th St , Minneapolis MN 55407-3723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Wagner, William E can be contacted via phone (612) 863-5030.

Contact Information

Primary practice address
800 E 28Th St Minneapolis MN 55407-3723
Phone: (612) 863-5030
Fax: (612) 863-0020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 34982 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 34982 Minnesota

Profile Details

NPI number 1255391058
LBN Legal business name Wagner, William E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Nov 10th, 2020 - about 6 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 1255391058 NPPES
Minnesota MEDICAID 019267800

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