Individual
JEWELIA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6545 FRANCE AVE S STE 490, EDINA, MN 55435
(952) 922-7600
(952) 345-4448
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 962-3030
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7028
KS
Other
Enumeration date
06/16/2008
Last updated
08/22/2018
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