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Clayton Thomas Wagner
Family Medicine Physician in Apple Valley, Minnesota
NPI 1902303589

Clayton Thomas Wagner is a Family Medicine Physician based in Bloomington, MN. Clayton Thomas Wagner practices in Apple Valley, MN. The NPI Number for Clayton Thomas Wagner is 1902303589 and holds a License No. 68745 (Minnesota).

The current practice location address for Clayton Thomas Wagner is 15290 Pennock Ln, Apple Valley, MN and can be reached out via phone at 952-431-8500 and via fax at 952-431-8598.

Location: 15290 Pennock Ln, Apple Valley, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902303589
Provider Name
Clayton Thomas Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
15290 Pennock Ln, Apple Valley, MN, 55425-4516
Phone Number
952-431-8500
Fax Number
952-431-8598
Provider Enumeration Date
04/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15290 Pennock Ln
City
Apple Valley
State
Minnesota
Zip
55124-7163
Phone Number
952-431-8500
Fax Number
952-431-8598
person
Provider Business Mailing Address Details
Address
15290 Pennock Ln
City
Apple Valley
State
Minnesota
Zip
55124-7163
Phone Number
952-431-8500
Fax Number
952-431-8598
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
68745 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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