NPI 1164918199

Matthew Steven Wagner, MD

Practitioner Diagnostic Radiology Physician Duluth, MN

Practice location

Address: 420 E 1st St, Duluth, MN 55805-1901
Phone: (218) 786-8364
Mailing address: 400 E 3rd St, Duluth, MN 55805-1951

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 74110 (MN)

Other Radiology providers in Minnesota →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence RL15231 (ND)

Other Internal Medicine providers in Minnesota →

Registry record

NPI: 1164918199
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2018
Record last updated: 24 Jul 2023

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.