Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY L WAGONER, MD
ActiveAMY L WAGONER, MD is a Family Medicine healthcare provider located in WATERTOWN, South Dakota. NPI 1376554568 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WATERTOWN, SD
Registration Details
- NPI Number
- 1376554568
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2006 (20.003719433044 yrs)
- Last Updated
- Oct 1, 2012
- Licenses
-
40276 (WI)8597 (SD)
Practice Information
- Address
-
901 4TH ST NWWATERTOWN, SD, 572011558Browse SD providers · Browse ZIP 57201
- Phone
- 6058868471
- Fax
- 6058869317
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in WATERTOWN, SD
| Name | Credential | NPI |
|---|---|---|
| KENNETH M JOHNSON | MD | 1306825864 |
| WILLIAM W DEVINE | MD | 1376522854 |
| DR. THOMAS R LECHNER | MD | 1053377556 |
| STACIE A. LENSSEN | MD | 1215994769 |
| CLARK W. LIKNESS | MD | 1760449284 |
| DANIEL H REIFFENBERGER | MD | 1558328799 |
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.