Individual
MARIA JOSEPH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDCS
Contact information
Practice address
255 SMITH AVE N, SUITE 100, SAINT PAUL, MN 55102-2572
(651) 292-0616
Mailing address
255 SMITH AVE N, SUITE 100, SAINT PAUL, MN 55102-2572
(651) 292-0616
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
93253
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93253
ARDMS NUMBER
MN
Enumeration date
11/16/2006
Last updated
07/08/2007
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