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1871696914
MARK W WAGGENER
MAPLEWOOD, MN
NPI
1871696914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MN 46143)
Enumeration Date
2006-09-06
Last Update Date
2011-08-08
Business Address
-- MARK W WAGGENER MD
1575 BEAM AVE
MAPLEWOOD, MN 55109-1126
Phone number: 651-232-7348
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Mailing Address
-- MARK W WAGGENER MD
7866 9TH STREET CIR N
OAKDALE, MN 55128-5347
Phone number: 651-735-7946
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