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
Saint Louis Park, MNNo coordinates on file. Search this address in Google Maps
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 |
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
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Jackie Lynn Hawkinson, SPTA
Student / training record Saint Louis Park, MN
-
Araya Heinen
Student / training record Saint Louis Park, MN
-
Carissa Alani Scott
Student / training record Saint Louis Park, MN
-
Clemence Marie Sullivan, MD
Student / training record Saint Louis Park, MN