Cameron Wagner, MD
Surgery in Des Moines, IA. Individual provider (NPI-1).
NPI number1962060749
StatusActive
Last updated in NPPESJun 5, 2019
Details
- NPI
- 1962060749
- Entity type
- Individual (NPI-1)
- Name
- Cameron Wagner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2019
- Last updated
- Jun 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | R-11627 | IA | Yes |
Practice location
1200 Pleasant StDes Moines, IA 50309-1406
Phone 515-241-4076
Mailing address
1415 Woodland Ave Ste 140Des Moines, IA 50309-3203
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