Individual
MS. JOAN R BAGWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WHC, NP
Contact information
Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5201
(952) 993-4500
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R 120304-2
MN
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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