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

GREGORY JOHN WAGMAN, OPA-C

Active Sole Proprietor

GREGORY JOHN WAGMAN, OPA-C is a 246ZX2200X healthcare provider located in EDINA, Minnesota. NPI 1952314379 is currently active in the NPPES registry. Verify at CMS.

246ZX2200X · EDINA, MN

Registration Details

NPI Number
1952314379
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2006 (20.023676616892 yrs)
Last Updated
Apr 27, 2018
Sole Proprietor
Yes

Practice Information

Address
4010 W 65TH ST
EDINA, MN, 554351706
Browse MN providers · Browse ZIP 55435
Phone
9524567000
Fax
9524567001
Primary Specialty
246ZX2200X
246ZX2200X
Additional Specialty
246ZX2200X

Other 246ZX2200X Providers in EDINA, MN

Name Credential NPI
JOEL LEE LANCASTER O.T. 1144339680
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.