Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Lee Wagoner, MD

Individual provider Family Medicine Physician · NPI 1225027162

Douglas Lee Wagoner, MD is a Family Medicine Physician in Glencoe, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1805 Hennepin Ave N Glencoe Regional Health Services
Glencoe, MN 55336-1416
Phone: (320) 864-3121
Fax: (320) 864-7887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27782 (MN)

Record details

NPI number1225027162
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address1805 Hennepin Ave N, Glencoe, MN 55336-1416

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