Individual
JAMES ALLEN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
(605) 234-6551
(605) 234-7260
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4566
OK
207V00000X
Obstetrics & Gynecology Physician
Primary
8133
SD
Other
Enumeration date
03/14/2008
Last updated
09/06/2012
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