Individual
MR. ALBERT R WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 MAIN ST STE 106, MENDOTA HEIGHTS, MN 55118-3765
(651) 225-4327
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
MN
237700000X
Hearing Instrument Specialist
Primary
2640
MN
Other
Enumeration date
04/21/2009
Last updated
06/24/2021
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