Individual
GERHARDT STEFAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 SHERMAN ST STE 390, SAINT PAUL, MN 55102-3865
(651) 383-4800
Mailing address
100 LINDEN OAKS STE 200, ROCHESTER, NY 14625-2831
(585) 368-6700
(585) 368-6767
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
268023
NY
2084P0800X
Psychiatry Physician
Primary
80478
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400084743
MEDICARE GROUP PTAN: J100044293
NY
Enumeration date
07/02/2008
Last updated
11/10/2025
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