DOUGLAS WAGONER, MD
Family Medicine
Active
Individual
NPI: 1225027162
Practice Address
1805 HENNEPIN AVE NGLENCOE REGIONAL HEALTH SERVICES
Glencoe, MN 55336
Phone: (320) 864-3121
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 27782 (MN) |
Frequently Asked Questions
NPI 1225027162 is the National Provider Identifier for DOUGLAS WAGONER, MD, a Family Medicine provider located in Glencoe, MN. This NPI was enumerated on October 13, 2005.
DOUGLAS WAGONER, MD practices at 1805 HENNEPIN AVE N, GLENCOE REGIONAL HEALTH SERVICES, Glencoe, MN 55336.
Quick Facts
- NPI
- 1225027162
- Type
- Individual
- Enumerated
- Oct 13, 2005
- Last Updated
- Nov 25, 2020
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