Individual
DR. EMILY ANNE WAGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-7530
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(763) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
59280
MN
Other
Enumeration date
06/02/2010
Last updated
07/24/2025
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