NPI
Erica Bohlke Wagner
NPI 1053810846
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- P.A.
- Type
- Individual
- Enumeration date
- 2018-02-07
- Last updated
- 2023-10-30
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Specialties
Licenses
- License MN
- 12588
Location
- Practice location
- 3305 Central Park Village Dr Ste 200
- City
- Eagan MN
- Postal code
- 55121-7707
- Phone
- (651) 406-8860
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Eagan, MN. 2,096 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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