Individual provider · Type 1 NPI
Daniel R. Wagner, MD
Neurology Physician · St. Louis, MO
NPI number
1992751036
Active
Practice location
11188 Tesson Ferry Rd Ste 202
St. Louis, MO 63123-6962
Fax (314) 729-7547
Mailing address
11888 Tesson Ferry Rd., Ste. 202
St. Louis, MO 63123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 2007009239 (MO) |
| Neurology Physician | 2084N0400X | 129759 (NY) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1992751036
Daniel R. Wagner, MD's National Provider Identifier is 1992751036, issued on May 26, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.