DOUGLAS LEE WAGONER

GLENCOE, MN
NPI1225027162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  27782)
Enumeration Date2005-10-13
Last Update Date2020-11-25
Business Address
DOUGLAS LEE WAGONER MD
1805 HENNEPIN AVE N GLENCOE REGIONAL HEALTH SERVICES
GLENCOE, MN 55336-1416
Phone number: 320-864-3121
Mailing Address
DOUGLAS LEE WAGONER MD
1805 HENNEPIN AVE N
GLENCOE, MN 55336-1416
Phone number: 320-864-3121
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