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MARK DARREL WAGNER
NPI 1942374210
Family Medicine in Hibbing, MN

Active since November 20, 2006
1120 E 34TH ST, HIBBING, MN 55746(218) 362-7100(218) 362-7131 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2020, Feb 7, 2017 (2 updates tracked since 2017).

About Mark Darrel Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK DARREL WAGNER (NPI 1942374210) is an individual family medicine provider in Hibbing, Minnesota, licensed in Minnesota (30642) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1942374210
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK DARREL WAGNER
Location Address1120 E 34TH STHibbing, MN 55746-2909
Mailing Address1120 E 34th StHibbing, MN 55746-2909 · (218) 362-7100 · Fax (218) 362-7131
Phone(218) 362-7100
Fax(218) 362-7131
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1942374210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 30642
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1120 E 34TH ST, Hibbing, MN 55746
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Other Identifiers 1

Medicaid701083400MN

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN SUZANNE SIEKKINEN NP
Nurse Practitioner (Family)
1120 E 34TH ST
HIBBING, MN 55746
St. Louis County (218) 362-7100
DR. AMY KATHLEEN HILDE-PHILIPS MD
Family Medicine
1120 E 34TH ST
HIBBING, MN 55746
St. Louis County (218) 362-7100
CHRISTINE LYNN DWORZYNSKI
Nurse Practitioner (Family)
1120 E 34TH ST
HIBBING, MN 55746
St. Louis County (218) 362-7100
MRS. LYNN L HAGEN RPH
Pharmacist
1120 E 34TH ST, SUITE 1
HIBBING, MN 55746
St. Louis County (218) 263-7455
DR. JACK BUCHANEN GREENE MD
Family Medicine
1120 E 34TH ST
HIBBING, MN 55746
St. Louis County (218) 362-7100
ERIN MARIE CARY PHARMD
Pharmacist
1120 E 34TH ST
HIBBING, MN 55746
St. Louis County (218) 263-7455
MR. CRAIG D BARON PHARMD
Pharmacist
1120 E 34TH ST
HIBBING, MN 55746
St. Louis County (218) 263-7455
TAMMY LICARI R.D.
Dietitian, Registered
1120 E 34TH ST
HIBBING, MN 55746
St. Louis County (218) 362-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Wagner's NPI number?

The NPI number for Mark Wagner is 1942374210. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Mark Wagner located?

Mark Wagner practices at 1120 E 34th St, Hibbing, MN 55746. The listed phone number is (218) 362-7100.

What is Mark Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mark Wagner was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.