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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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