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MS. JONI WAGNER PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1992775027

Individual Registrant:
MS. JONI  WAGNER PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
740 S HILL ST  SALEM, SD 57058-8760 US
Tel: 605-425-2855  Fax: 605-425-2149

Contact information for business:
PO BOX 86430  SIOUX FALLS, SD 57118-6430 US
Tel: 605-322-4900  Fax: 605-322-4925

Registration Information:
NPI: 1992775027
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
SD0481

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MIDLAND'S CHOICE234724SD01
DAKOTACARE9238086SD01
MEDICARE PTANS1639SD01
MEDICA01-11971SD01
PREFERRED ONEAH1311029419SD01
HEALTH PARTNERSHP34870SD01
WELLMARK4997236SD01
AVERA HEALTH2843SD01
6823310SD05




HEALTH CARE JOBS SD - Page 1



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