Dr. David Bryan Waggonner, MD
Dr. David Bryan Waggonner, MD is an Obstetrics/Gynecology in Saint Louis Park, Minnesota. Graduated from Loma Linda University School of Medicine in 2006, 20 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 20
- Trained at
- Loma Linda University School of Medicine
- Licensed in
- MN
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
6500 Excelsior BlvdSaint Louis Park, MN 55426-4702
Phone: (952) 993-3282
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) | Taxonomy 207VF0040X · Licence 56763 (MN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1164600342 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | February 10, 2008 |
| Last updated in NPPES | December 28, 2022 |
| Certification date | December 28, 2022 |
| Mailing address | 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2006 (20 years in practice) |
| Group practice | Park Nicollet Clinic — 1773 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Saint Louis Park
-
Jackie Lynn Hawkinson, SPTA
6008 Goodrich Ave, Saint Louis Park, MN 55416-2425 · (612) 578-0502
-
Araya Heinen
7601 Wayzata Blvd, Saint Louis Park, MN 55426-1623 · (612) 223-8898
-
Carissa Alani Scott
5354 Parkdale Dr, Saint Louis Park, MN 55416-1603 · (651) 645-5323
-
Clemence Marie Sullivan, MD
5100 Gamble Dr Ste 100 Mail Stop 31200A, Saint Louis Park, MN 55416-1582 · (952) 541-2500