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1245490952
JEWELIA WAGNER
EDINA, MN
NPI
1245490952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: KS 7028)
Enumeration Date
2008-06-16
Last Update Date
2018-08-22
Business Address
JEWELIA WAGNER MD
6545 FRANCE AVE S STE 490
EDINA, MN 55435
Phone number: 952-922-7600
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Mailing Address
JEWELIA WAGNER MD
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-962-3030
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