David Bryan Waggonner in Saint Louis Park - Student In An Organized Health Care Education/training Program
David Bryan Waggonner - NPI 1164600342
David Bryan Waggonner is a Student In An Organized Health Care Education/training Program in Saint Louis Park, Minnesota. David Bryan Waggonner practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for David Bryan Waggonner is 1164600342. The last update date is 2022-12-28.
David Bryan Waggonner's current location address is 6500 Excelsior Blvd, Saint Louis Park, Minnesota. You can contact this provider via phone number 9529933282. The mailing address for David Bryan Waggonner is 6500 Excelsior Blvd, Saint Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Bryan Waggonner |
|---|---|
| Address | 6500 Excelsior Blvd, Saint Louis Park, Minnesota |
| Phone Number | 9529933282 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164600342 |
|---|---|
| Provider Enumeration Date | 2008-02-10 |
| Last Updated Date | 2022-12-28 |
Provider Mailing Address Detail
| Address | 6500 Excelsior Blvd |
|---|---|
| City | Saint Louis Park |
| State | Minnesota (MN) |
| Post Code | 554264702 |
| Phone Number | 9529933282 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Bryan Waggonner by the Centers for Medicare & Medicaid Services?
The David Bryan Waggonner has been issued the NPI (National Provider Identifier) 1164600342 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of David Bryan Waggonner?
The David Bryan Waggonner is situated at 6500 Excelsior Blvd, in the city of Saint Louis Park, state of MN, with the zip code 554264702.
What is David Bryan Waggonner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Bryan Waggonner's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.
When did David Bryan Waggonner receive its 1164600342 assignment?
The David Bryan Waggonner was assigned its 1164600342 on 2008-02-10, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding David Bryan Waggonner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Bryan Waggonner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-12-28.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY