License holder summary

David Bryan Waggonner is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for David Bryan Waggonner is Park Nicollet Meadowbrook Clinic, 6490 Excelsior Blvd - Ste E 111, St. Louis Park, MN 55426. This doctor license is current. The license was granted 07/13/2013 and expired on 03/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

David Bryan Waggonner
Medical - Physician And Surgeon
License number
56763
Date granted
07/13/2013
Date expires
03/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
Park Nicollet Meadowbrook Clinic, 6490 Excelsior Blvd - Ste E 111, St. Louis Park, MN 55426
doctorsminnesota.org
ID 22326292
LAST UPDATED 2026-04-28 15:16:29 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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