VAN WAGNER, MD
Surgery
Active
Individual
NPI: 1316028186
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | Yes | 2003009179 (MO) |
Frequently Asked Questions
NPI 1316028186 is the National Provider Identifier for VAN WAGNER, MD, a Surgery provider located in Saint Louis, MO. This NPI was enumerated on October 18, 2006.
VAN WAGNER, MD practices at 10007 KENNERLY ROAD, SUITE A, Saint Louis, MO 63128.
Quick Facts
- NPI
- 1316028186
- Type
- Individual
- Enumerated
- Oct 18, 2006
- Last Updated
- Feb 1, 2026
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