JAMES ALLEN WAGNER

CHAMBERLAIN, SD
NPI1528239860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: SD  8133)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: OK  4566)
Enumeration Date2008-03-14
Last Update Date2012-09-06
Business Address
-- JAMES ALLEN WAGNER DO
300 S BYRON BLVD
CHAMBERLAIN, SD 57325-9741
Phone number: 605-234-6551
Mailing Address
-- JAMES ALLEN WAGNER DO
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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