AMY L WAGONER

Dr AMY L WAGONER is a female medical professional, specializing in Family Medicine. She graduated in 1997 from University Of South Dakota School Of Medicine.

Contact

2320 9TH AVE SE
WATERTOWN
SD
572017112

Tel:

AMY L WAGONER Information

Npi 1376554568
Pac Id 6406939321
Professional Enrollment Id I20121128000532
Last Name WAGONER
First Name AMY
Middle Name L
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 1997
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2320 9TH AVE SE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WATERTOWN
State SD
Zip Code 572017112
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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