Individual
ANNE MARIE OLSEN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
859 MANKATO AVE, WINONA CLINIC LTD, WINONA, MN 55987
(507) 454-3680
(507) 457-7672
Mailing address
859 MANKATO AVE, WINONA CLINIC LTD, WINONA, MN 55987
(507) 454-3680
(507) 457-7672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1724929
MN
Other
Enumeration date
07/10/2006
Last updated
11/19/2009
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