David Van Wagner MD PC

NPI #1194076349 in Sioux City, Iowa

Provider Information

NPI Number: 1194076349
Entity Type: Organization
Organization Name: David Van Wagner MD PC
Primary Specialty: Otolaryngology
Enumeration Date: Sep 27, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 2730 PIERCE ST STE 204
City: Sioux City
State: Iowa
ZIP Code: 51104-3764
Phone: (712) 234-8787

Authorized Official

Name: DAVID VAN WAGNER, M.D.
Title: PHYSICIAN
Phone: (712) 234-8787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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