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

John E Wagner, MD

Individual provider Pediatrics Physician · NPI 1205933595

John E Wagner, MD is a Pediatric Medicine in Minneapolis, Minnesota. Graduated from Jefferson Medical College of Thomas Jefferson University in 1981, 45 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
45
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
MN
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

516 Delaware St SE Pwb Fifth Fl Ste 5-100 Clinic 5B
Minneapolis, MN 55455-0356
Phone: (612) 626-2663
Show map & directions

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

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 34354 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 34354 (MN)

Record details

NPI number1205933595
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 29, 2012
Mailing address420 Delaware St Se, Mmc 692,University Of Minnesota Physicians, Minneapolis, MN 55455-0341

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1981 (45 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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