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

Individual provider Neurology Physician · NPI 1992751036

Dr. Daniel R. Wagner, MD is a Neurology in Saint Louis, Missouri. Qualified in 1974, 52 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Missouri and New York.

Years since qualifying
52
Licensed in
MO, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11188 Tesson Ferry Rd Ste 202
Saint Louis, MO 63123-6962
Phone: (314) 729-7547
Fax: (314) 729-7547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 2007009239 (MO)
Neurology Physician Taxonomy 2084N0400X · Licence 129759 (NY)

Record details

NPI number1992751036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 26, 2006
Last updated in NPPESSeptember 21, 2021
Certification dateJune 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Also practisesSLEEP MEDICINE
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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