Wagner, Michael David
Wagner, Michael David is an individual health care provider with primary practice located at 2110 E Center St , Rochester MN 55904-4754. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Wagner, Michael David can be contacted via phone (507) 287-0674.Contact Information
Primary practice address
2110 E Center St
Rochester MN 55904-4754
Phone: (507) 287-0674
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 7558 | Minnesota |
| Nursing Service Providers / Registered Nurse | 163W00000X | 191995-4 | Minnesota |
Profile Details
| NPI number | 1699384958 |
|---|---|
| LBN Legal business name | Wagner, Michael David |
| Credentials | RN, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Jul 23rd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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