IndividualActive
Amy Wagoner, MD
NPI 1376554568 · Family Medicine Physician · Watertown, SD
Provider details
- NPI number
- 1376554568
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 40276 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
901 4th St Nw
Watertown, SD 57201-1558
Phone: (605) 886-8471
Fax: (605) 886-9317
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5074
Sioux Falls, SD 57117-5074
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2012-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.