Michael Hilmar Wagner, R.D., L.D.

NPI #1003085184 in Saint Paul, Minnesota

Provider Information

NPI Number: 1003085184
Entity Type: Individual
Name: Michael Hilmar Wagner, R.D., L.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Credential: R.D., L.D.
Enumeration Date: Feb 22, 2008
Last Updated: Jan 30, 2019

Practice Location

Address: 2265 COMO AVE
City: Saint Paul
State: Minnesota
ZIP Code: 55108-1737
Phone: (888) 364-5977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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