DR. FREDERICK WAGNER, M.D.
Anesthesiology
Active
Individual
NPI: 1770589053
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Anesthesiology | 207L00000X | Yes | 036124604 (IL) |
Frequently Asked Questions
NPI 1770589053 is the National Provider Identifier for DR. FREDERICK WAGNER, M.D., a Anesthesiology provider located in Glen Carbon, IL. This NPI was enumerated on June 22, 2005.
DR. FREDERICK WAGNER, M.D. practices at 5921 MERIDIAN WOODS DRIVE, Glen Carbon, IL 62034.
Quick Facts
- NPI
- 1770589053
- Type
- Individual
- Enumerated
- Jun 22, 2005
- Last Updated
- Apr 14, 2017
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