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Contact Information

DAVID B WAGGONNER, MD
6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55426-4702
 Phone: 952-993-3282
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DAVID B WAGGONNER · (Male)

NPI Number 1164600342
Status Active
Credentials MD
Entity Individual
Enumeration date 02/10/2008
Last updated 12/28/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 56763
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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