NPI 1003085184

Michael Hilmar Wagner, RDLD

Practitioner Nutritionist Saint Paul, MN

Practice location

Address: 2265 Como Ave, Saint Paul, MN 55108-1737
Phone: (888) 364-5977
Fax: (844) 385-4630

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence N177 (MN)

Other Nutritionist providers in Minnesota →

Registry record

NPI: 1003085184
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2008
Record last updated: 30 Jan 2019

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.