Individual
DR. STEPHEN R WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 735-0501
(651) 735-1870
Mailing address
8681 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 251-8021
(651) 251-8050
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35533
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35533
MN
208VP0014X
Interventional Pain Medicine Physician
35533
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386213500
—
MN
Enumeration date
08/31/2006
Last updated
11/24/2025
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