Matthew Wagner

NPI #1053785840 in Wabasha, Minnesota

Provider Information

NPI Number
1053785840
Entity Type
Individual
Name
Matthew Wagner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 17, 2015
Last Updated
Nov 14, 2018

Practice Location

Address
1200 GRANT BLVD W
ZIP Code
55981
Phone
(651) 565-5600

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Registered Nurse

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