NPI 1568606689
Albert R Wagner
Practice location
- Address
- 750 Main St STE 106, Mendota Heights, MN 55118-3765
- Phone
- (651) 225-4327
- Mailing address
- 8800 SE Sunnyside Rd STE 300n, Clackamas, OR 97015-5703
Registered specialties (2)
Hearing Instrument Specialist
Primary
Audiologist-Hearing Aid Fitter
Registry record
- NPI
- 1568606689
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Apr 2009
- Record last updated
- 24 Jun 2021
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.