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

Dr. Richard Otto Wagner, MD

Individual provider Diagnostic Radiology Physician · NPI 1194752683

Dr. Richard Otto Wagner, MD is a Diagnostic Radiology in Edina, Minnesota. Graduated from Medical College of Wisconsin in 1974, 52 years ago. Practices with Radiology Alliance PC, a 424-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
52
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2006
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

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1301
Fax: (612) 294-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 19448-020 (WI)

Record details

NPI number1194752683
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1974 (52 years in practice)
Group practice Radiology Alliance Pc — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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