Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS LEE WAGONER, MD
ActiveDOUGLAS LEE WAGONER, MD is a Family Medicine healthcare provider located in GLENCOE, Minnesota. NPI 1225027162 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GLENCOE, MN
Registration Details
- NPI Number
- 1225027162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2005 (20.807233508981 yrs)
- Last Updated
- Nov 25, 2020
- License
-
27782 (MN)
Practice Information
- Address
-
1805 HENNEPIN AVE NGLENCOE REGIONAL HEALTH SERVICESGLENCOE, MN, 553361416Browse MN providers · Browse ZIP 55336
- Phone
- 3208643121
- Fax
- 3208647887
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GLENCOE, MN
| Name | Credential | NPI |
|---|---|---|
| KRISTINE LEONARD KNUDTEN | MD | 1154319705 |
| BRYAN TUTT PETERSEN | MD | 1356339436 |
| AMANDA ELIZABETH LEINO | MD | 1598754335 |
| BRENT S WILLIAMS | MD | 1487643813 |
| MICHAEL PATRICK MCCARTHY | MD | 1013998517 |
| JAMES W JESSEN | MD | 1083692008 |
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.