Individual
GUNTHER WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST THIRD STREET, DULUTH, MN 55805-1950
(218) 786-3146
(218) 722-8792
Mailing address
913 CULVER RD, ROCHESTER, NY 14609-7141
(585) 654-5432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63661
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2014
Last updated
07/27/2018
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