Individual
DAVID FRANCIS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
915 N GRAND BLVD, 05JC, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-6472
Mailing address
915 N GRAND BLVD, 05JC, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-6472
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
073061
MO
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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