John E Wagner
MD | Pediatric Hematology-Oncology | Male
John E Wagner, MD is a Minneapolis, Minnesota based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of John E Wagner is
516 Delaware St Se, Pwb Fifth Floor, Suite 5-100, Clinic 5b, Minneapolis, Minnesota - 55455-0356. He can be contacted on phone at
612-626-2663.
John E Wagner is a sole proprietor of his business.
NPI number (Unique professional ID) for John E Wagner is
1205933595 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 29 Oct, 2012.
John E Wagner license number is
34354 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Minnesota.
John E Wagner is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
John E Wagner basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | John E Wagner |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
John E Wagner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 516 Delaware St Se, Pwb Fifth Floor, Suite 5-100, Clinic 5b
Minneapolis, MN, 55455-0356
United States |
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| Phone Number : | 612-626-2663 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1205933595 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 29 Oct, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John E Wagner are as mentioned. Primary taxonomy code for John E Wagner, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 34354 | MN |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 34354 | MN |
Legacy Identifiers:
Other legacy medical identifiers of John E Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 090290 | Other | MN | FAIRVIEW |
| 3624608 | Other | MN | MEDICA - CHOICE |
| 3674548 | Other | MN | MEDICA - PRIMARY |
| 768393 | Other | MN | ARAZ |
| HP22006 | Other | MN | HEALTHPARTNERS |
| 7777470 | MEDICAID | SD | |
| 2086719201 | MEDICAID | KS | |
| 837207100 | MEDICAID | MN | |
| 1009344 | Other | MN | PREFERREDONE |
| 2T332WA | Other | MN | BLUE CROSS BLUE SHIELD |
| 1688300 | MEDICAID | WI | |
| 10387 | MEDICAID | ND | |
| 1970657 | MEDICAID | IA | |
| 100981 | Other | MN | UCARE |
| 1896241 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 420 Delaware St Se, Mmc 692,university Of Minnesota Physicians
Minneapolis, MN, 55455-0341
United States |
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| Phone Number : | 612-626-2663 |
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Business Location:
Patients can refer following map for directions to
John E Wagner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.