person
Richard G. Waggener, MD
Diagnostic Radiology Physician in Robbinsdale, Minnesota
NPI 1518917830

Richard G. Waggener is a Diagnostic Radiology Physician based in Plymouth, MN and is specialized in Diagnostic Radiology. Richard G. Waggener practices in Robbinsdale, MN and has the professional credentials of MD. The NPI Number for Richard G. Waggener is 1518917830 and holds a License No. 32784 (Minnesota).

The current practice location address for Richard G. Waggener is 3366 Oakdale Ave N, Robbinsdale, MN and can be reached out via phone at 763-398-6383. You can also correspond with Richard G. Waggener through the mailing address at 2800 CAMPUS DR STE 10, PLYMOUTH, MN - 55441-8812 (mailing address contact number: 763-559-2171).

Location: 3366 Oakdale Ave N, Robbinsdale, MN, 55441-8812
person
Provider Profile Details
NPI Number
1518917830
Provider Name
Richard G. Waggener
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3366 Oakdale Ave N, Robbinsdale, MN, 55441-8812
Phone Number
763-398-6383
Fax Number
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2136905 05 OH
64325491 05 KY
1054560 05 KY
200114300 05 IN
274540900A 05 GA
000000062498 01 KY ANTHEM BLUE FACET
01773615 05 NY
4817171 05 MI
XPY200541 05 CA
060794701 05 TX
909773200 05 FL
institution
Provider Business Practice Location Address Details
Address
3366 Oakdale Ave N
City
State
Zip
55422-2948
Phone Number
763-398-6383
Fax Number
person
Provider Business Mailing Address Details
Address
3366 Oakdale Ave N
City
State
Zip
55422-2948
Phone Number
763-398-6383
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
32784 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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