Individual
DR. LOUIS R WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 288-3443
Mailing address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 288-3443
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25760
MN
Other
Enumeration date
06/03/2006
Last updated
09/20/2011
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