Hans R Wagenaar in Sioux Falls - Physician Assistant

Hans R Wagenaar - NPI 1811955073

Hans R Wagenaar is a Physician Assistant in Sioux Falls, South Dakota. Hans R Wagenaar practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Hans R Wagenaar is 1811955073. The last update date is 2012-02-01.

Hans R Wagenaar's current location address is 201 W 69th St, Sioux Falls, South Dakota. You can contact this provider via phone number 6053360635 and fax number 6053367182. The mailing address for Hans R Wagenaar is 201 W 69th St, Sioux Falls, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Hans R Wagenaar
Address 201 W 69th St, Sioux Falls, South Dakota
Phone Number 6053360635
Fax Number 6053367182
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1811955073
Provider Enumeration Date 2006-05-03
Last Updated Date 2012-02-01

Provider Mailing Address Detail

Address 201 W 69th St
City Sioux Falls
State South Dakota (SD)
Post Code 571082403
Phone Number 6053360635
Fax Number 6053367182

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 447
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
714427000 MN --
970015240 SD RAILROAD MEDICARE
6821680 SD --

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FAQs about Hans R Wagenaar

What is the Hans R Wagenaar's unique identification number?

The Hans R Wagenaar has been assigned the NPI (National Provider Identifier) Number 1811955073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Hans R Wagenaar's physical address?

The Hans R Wagenaar is physically located at 201 W 69Th St, in the city of Sioux Falls, SD, with the postal code 571082403.

What is the Hans R Wagenaar's area of specialization and corresponding taxonomy classification?

The Hans R Wagenaar's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

As of what date were the Hans R Wagenaar's details last updated?

The information pertaining to the Hans R Wagenaar, including its address, specialty, and other details, was most recently updated on 2012-02-01.

As of what date were the details related to Hans R Wagenaar most recently updated or revised?

The information pertaining to Hans R Wagenaar, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-01.

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