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Dr. David Bryan Waggonner, MD
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in Saint Louis Park, Minnesota
NPI 1164600342

David Bryan Waggonner is a Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician based in Minneapolis, MN and is specialized in Female Pelvic Medicine and Reconstructive Surgery. David Bryan Waggonner practices in Saint Louis Park, MN and has the professional credentials of MD. The NPI Number for David Bryan Waggonner is 1164600342 and holds a License No. (Minnesota).

The current practice location address for David Bryan Waggonner is 6500 Excelsior Blvd, Saint Louis Park, MN and can be reached out via phone at 952-993-3282.

Location: 6500 Excelsior Blvd, Saint Louis Park, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164600342
Provider Name
David Bryan Waggonner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6500 Excelsior Blvd, Saint Louis Park, MN, 55425-4516
Phone Number
952-993-3282
Fax Number
Provider Enumeration Date
02/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6500 Excelsior Blvd
City
Saint Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-3282
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Excelsior Blvd
City
Saint Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-3282
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
207VF0040X
License No.
56763 (Minnesota)
Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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