Individual
CAMERON WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-4076
Mailing address
1415 WOODLAND AVE STE 140, DES MOINES, IA 50309-3203
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R-11627
IA
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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