Individual
MICHAEL HILMAR WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D., L.D.
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(888) 364-5977
(844) 385-4630
Mailing address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5323
(651) 647-5135
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N177
MN
Other
Enumeration date
02/22/2008
Last updated
01/30/2019
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