PHILIP A WAGNER

COON RAPIDS, MN
NPI1265427355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R 147759-3)
Enumeration Date2005-09-14
Last Update Date2008-05-16
Business Address
-- PHILIP A WAGNER CRNA
8990 SPRINGBROOK DR NW SUITE 250
COON RAPIDS, MN 55433-5850
Phone number: 763-398-1162
Mailing Address
-- PHILIP A WAGNER CRNA
1200 LINCOLN AVE
SAINT PAUL, MN 55105-2737
Phone number:
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