Individual provider · Type 1 NPI

David Bryan Waggonner, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · St. Louis Park, MN

NPI number 1164600342 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Call (952) 993-3282 Map

Mailing address

8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary	207VF0040X	56763 (MN)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

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About NPI 1164600342

David Bryan Waggonner, MD's National Provider Identifier is 1164600342, issued on Feb 10, 2008. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in St. Louis Park, MN. The record was last updated on Dec 28, 2022.