person
Angela D Wagner, PA-C
Medical Physician Assistant in Fargo, North Dakota
NPI 1073531711

Angela D Wagner is a Medical Physician Assistant based in Fargo, ND and is specialized in Medical. Angela D Wagner practices in Fargo, ND and has the professional credentials of PA-C. The NPI Number for Angela D Wagner is 1073531711 and holds a License No. PAC0344 (North Dakota).

The current practice location address for Angela D Wagner is 700 1St Ave S, Fargo, ND and can be reached out via phone at 701-234-4023 and via fax at 701-234-4050. You can also correspond with Angela D Wagner through the mailing address at 2401 41ST ST S, FARGO, ND - 58104-7783 (mailing address contact number: 701-234-4023).

Location: 700 1St Ave S, Fargo, ND, 58104-7783
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Provider Profile Details
NPI Number
1073531711
Provider Name
Angela D Wagner
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
700 1St Ave S, Fargo, ND, 58104-7783
Phone Number
701-234-4023
Fax Number
701-234-4050
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
186186700 05 MN
71059 05 ND
institution
Provider Business Practice Location Address Details
Address
700 1St Ave S
City
State
Zip
58103-1802
Phone Number
701-234-4023
Fax Number
701-234-4050
person
Provider Business Mailing Address Details
Address
700 1St Ave S
City
State
Zip
58103-1802
Phone Number
701-234-4023
Fax Number
701-234-4050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAC0344 (North Dakota)
Definition
Definition to come...
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