MD John E Wagner, NPI 1205933595
Pediatric Hematology & Oncology Physician in Minneapolis, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1205933595
NPI Entity Type Individual
Provider Name MD John E Wagner
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 516 Delaware St Se, Pwb Fifth Floor, Suite 5-100, Clinic 5b, Minneapolis, MN, US
Provider Mailing Address 420 Delaware St Se, Mmc 692,university Of Minnesota Physicians, Minneapolis, MN, US, 554550341
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2080P0207X

Taxonomy Name Pediatric Hematology & Oncology Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

License No. 34354
License State MN
Description A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Business Address

MD John E Wagner
516 Delaware St Se
Pwb Fifth Floor, Suite 5-100, Clinic 5b

Minneapolis, MN, US

Phone: 612-626-2663

Mailing Address

MD John E Wagner
420 Delaware St Se
Mmc 692,university Of Minnesota Physicians
Minneapolis, MN, US
ZIP 554550341
Phone: 612-626-2663

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208000000X

Allopathic & Osteopathic Physicians

Pediatrics

34354 MN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
090290 MN FAIRVIEW 01
100981 MN UCARE 01
837207100 MN MEDICAID 05
1896241 LA MEDICAID 05
2T332WA MN BLUE CROSS BLUE SHIELD 01
1970657 IA MEDICAID 05
2086719201 KS MEDICAID 05
10387 ND MEDICAID 05
1688300 WI MEDICAID 05
3624608 MN MEDICA - CHOICE 01
3674548 MN MEDICA - PRIMARY 01
HP22006 MN HEALTHPARTNERS 01
1009344 MN PREFERREDONE 01
768393 MN ARAZ 01
7777470 SD MEDICAID 05

Other Providers in MN, US

NPI Name Taxonomy Address

1508589474

LPCC Renee A. M. Louck

Individual

Mental Health Counselor

4408 Bloomington Ave

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1053066902

Advanced Psychological Services Llc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

304 Belle Ave

Mankato, MN

1881130573

Biogray, Llc

Organization

Clinical Medical Laboratory

5201 Eden Ave Ste 300

Edina, MN

1770154064

M.D Omair Ul Haq Lodhi

Individual

Student in an Organized Health Care Education/Training Program

420 Delaware St Se Mmc 295

Minneapolis, MN

1871176537

Health Associates Professional Llc

Organization

In Home Supportive Care Agency

5747 W Broadway Ave Ste 212d

Crystal, MN

1699053231

MD Rebecca Hibbert

Individual

Diagnostic Radiology Physician

200 1st St Sw

Rochester, MN

1053036426

PHARMD Maria Mohar

Individual

Pharmacist

2199 Highway 36 E

North Saint Paul, MN

1174248546

Salima Health Service Inc

Organization

Home Health Agency

1020 E 146th St Ste 117

Burnsville, MN

1811553894

DR. DDS Amy Jo Full

Individual

General Practice Dentistry

1027 2nd Ave

Worthington, MN

1629793088

Desiree Williams

Individual

Behavior Technician

3333 University Ave Se

Minneapolis, MN

1699437145

PA-C Eliza Anderson Abraham

Individual

Medical Physician Assistant

4480 Centerville Rd

White Bear Lake, MN

1649995093

DNP, CRNA Alex Ringhand

Individual

Certified Registered Nurse Anesthetist

500 Harvard St Se

Minneapolis, MN

1992174007

PA-C Lisa Elizabeth Worthington

Individual

Physician Assistant

2450 Riverside Ave

Minneapolis, MN

1740905199

Peyton William Lavigne

Individual

Behavior Technician

223 Center St

Winona, MN

1750006102

Alison Ann Newton Knapp

Individual

Women's Health Nurse Practitioner

1052 Ridge Crest Ln Nw

Rochester, MN

1811406945

Jennifer Rose Elmberg

Individual

Clinical Social Worker

225 1st St N Ste 3100b

Virginia, MN

1164147583

DPT Linda Chai

Individual

Physical Therapist

4801 W 81st St Ste 112

Bloomington, MN

1528547650

Renaissance Adult Day Care Inc.

Organization

Adult Day Care Clinic/Center

3045 Coon Rapids Blvd Nw

Coon Rapids, MN

1184349508

RD Olivia Jacobs

Individual

Registered Dietitian

2450 Riverside Ave

Minneapolis, MN

1912367368

Twin Cities Anaplastology

Organization

Customized Equipment (DME)

1880 Livingston Ave Ste 103

West Saint Paul, MN

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