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NPI 1003085184

IndividualActive

Michael Wagner, R.D., L.D.

NPI 1003085184 · Nutritionist · Saint Paul, MN

Provider details

NPI number: 1003085184
Entity type: Individual
Primary specialty: NutritionistDietary & Nutritional Service Providers
Credential: R.D., L.D.
Sex: Male
Sole proprietor: No
License: N177 (MN)

Practice location

2265 Como Ave

Saint Paul, MN 55108-1737

Phone: (888) 364-5977

Fax: (844) 385-4630

More MN providers

Mailing address

2265 Como Ave

Saint Paul, MN 55108-1737

Registry dates

Enumerated: 2008-02-22
Last updated: 2019-01-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Michael Wagner, R.D., L.D. — NPI 1003085184, Saint Paul, MN | NPI Central