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

Mark W Waggener, MD

Individual provider Emergency Medicine Physician · NPI 1871696914

Mark W Waggener, MD is an Emergency Medicine Physician in Maplewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
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

1575 Beam Ave
Maplewood, MN 55109-1126
Phone: (651) 232-7348
Fax: (651) 232-6665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 46143 (MN)

Record details

NPI number1871696914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESAugust 8, 2011
Mailing address7866 9th Street Cir N, Oakdale, MN 55128-5347

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