HANS R WAGENAAR

SIOUX FALLS, SD
NPI1811955073
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0447)
Enumeration Date2006-05-03
Last Update Date2012-02-01
Business Address
HANS R WAGENAAR PA-C
201 W 69TH ST
SIOUX FALLS, SD 57108-2403
Phone number: 605-336-0635
Mailing Address
HANS R WAGENAAR PA-C
201 W 69TH ST
SIOUX FALLS, SD 57108-2403
Phone number: 605-336-0635
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