Individual
JOHN E WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34354
MN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
34354
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090290
FAIRVIEW
MN
01
—
1009344
PREFERREDONE
MN
01
—
100981
UCARE
MN
05
—
10387
—
ND
05
—
1688300
—
WI
05
—
1896241
—
LA
05
—
1970657
—
IA
05
—
2086719201
—
KS
01
—
2T332WA
BLUE CROSS BLUE SHIELD
MN
01
—
3624608
MEDICA - CHOICE
MN
01
—
3674548
MEDICA - PRIMARY
MN
01
—
768393
ARAZ
MN
05
—
7777470
—
SD
05
—
837207100
—
MN
01
—
HP22006
HEALTHPARTNERS
MN
Enumeration date
09/20/2006
Last updated
10/29/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up