Individual provider · Type 1 NPI

John E. Wagner, MD

Pediatric Hematology & Oncology Physician · Minneapolis, MN

NPI number 1205933595 Active

Practice location

516 Delaware St SE, Pwb Fifth Floor, Suite 5-100, Clinic 5B
Minneapolis, MN 55455-0356

Call (612) 626-2663 Map

Mailing address

420 Delaware St SE, Mmc 692,UNIVERSITY Of Minnesota Physicians
Minneapolis, MN 55455-0341

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X34354 (MN)
Pediatric Hematology & Oncology Physician Primary 2080P0207X34354 (MN)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1205933595

John E. Wagner, MD's National Provider Identifier is 1205933595, issued on Sep 20, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 29, 2012.