Van L Wagner, MD

NPI #1316028186 in Saint Louis, Missouri

Provider Information

NPI Number: 1316028186
Entity Type: Individual
Name: Van L Wagner, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Oct 18, 2006
Last Updated: Feb 1, 2026

Practice Location

Address: 10007 KENNERLY ROAD
Address 2: SUITE A
City: Saint Louis
State: Missouri
ZIP Code: 63128-2179
Phone: (314) 776-7112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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