person
Dr. Laura Ella Wagner, MD
Specialist in Chesterfield, Missouri
NPI 1669445060

Laura Ella Wagner is a Specialist based in Chesterfield, MO. Laura Ella Wagner practices in Chesterfield, MO and has the professional credentials of MD. The NPI Number for Laura Ella Wagner is 1669445060 and holds a License No. R8N01 (Missouri).

The current practice location address for Laura Ella Wagner is 14377 Woodlake Dr, Chesterfield, MO and can be reached out via phone at 314-434-1111 and via fax at 314-434-1112. You can also correspond with Laura Ella Wagner through the mailing address at 14377 WOODLAKE DR, CHESTERFIELD, MO - 63017-5735 (mailing address contact number: 314-434-1111).

Location: 14377 Woodlake Dr, Chesterfield, MO, 63017-5735
person
Provider Profile Details
NPI Number
1669445060
Provider Name
Laura Ella Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
14377 Woodlake Dr, Chesterfield, MO, 63017-5735
Phone Number
314-434-1111
Fax Number
314-434-1112
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18374 01 MO BCBSMO PROVIDER #
431895147 01 MO TAX ID#
211386 01 MO HEALTHLINK ID#
39228V39228 01 MO GHP PROVIDER #
4420124 01 MO AETNA PROVIDER #
institution
Provider Business Practice Location Address Details
Address
14377 Woodlake Dr
City
State
Zip
63017-5735
Phone Number
314-434-1111
Fax Number
314-434-1112
person
Provider Business Mailing Address Details
Address
14377 Woodlake Dr
City
State
Zip
63017-5735
Phone Number
314-434-1111
Fax Number
314-434-1112
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
R8N01 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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