Individual
ROBYN LYNN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1323 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-5362
(763) 755-5300
(763) 755-5301
Mailing address
9126 ARCHER LANE NORTH, MAPLE GROVE, MN 55311
(612) 965-3178
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
MN
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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