NPI 1194076349

David van Wagner MD PC

Organisation Otolaryngology Physician Sioux City, IA

Practice location

Address: 2730 Pierce St STE 204, Sioux City, IA 51104-3764
Phone: (712) 234-8787
Fax: (712) 234-8777
Mailing address: 1000 W 4th St STE 8, Yankton, SD 57078-3700

Authorised official

Name: David van Wagner
Title: Physician
Phone: (712) 234-8787

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Iowa →

Registry record

NPI: 1194076349
Entity type: Organization
NPI issued: 27 Sep 2012
Record last updated: 5 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.