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1942234851
JAMES S WAGNER
BEMIDJI, MN
NPI
1942234851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MN 30763)
Additional Taxonomies
208600000X Surgery
(Licence: ND 5910)
Enumeration Date
2006-07-10
Last Update Date
2022-06-07
Business Address
JAMES S WAGNER MD
1300 ANNE ST NW
BEMIDJI, MN 56601-5103
Phone number: 218-333-5000
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Mailing Address
JAMES S WAGNER MD
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 218-333-5000
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