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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERICA BOHLKE WAGNER, P.A.

Active Sole Proprietor

ERICA BOHLKE WAGNER, P.A. is a Medical Physician Assistant healthcare provider located in EAGAN, Minnesota. NPI 1053810846 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · EAGAN, MN

Registration Details

NPI Number
1053810846
Provider Type
Individual
Gender
Female
NPI Issued
Feb 7, 2018 (8.5006023325721 yrs)
Last Updated
Oct 30, 2023
License
12588 (MN)
Sole Proprietor
Yes

Practice Information

Address
3305 CENTRAL PARK VILLAGE DR STE 200
EAGAN, MN, 551217707
Browse MN providers · Browse ZIP 55121
Phone
6514068860
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in EAGAN, MN

Name Credential NPI
EDWARD JOHN HOLLINGER JR. PA-C 1710034194
REBECCA BELL BENSON PA-C 1730369539
MELISA MARIE SCHULTZ PA-C 1740517291
MRS. YEVGENIYA ALEKS KHASKILEVICH PA-C 1073829891
MRS. MARY-ANN MYRTHIL PA-C 1366724239
MR. JEFFREY JOHN MOHR PA-C 1013271378
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.