Alison Rose Wagner, BS

NPI #1235447665 in Berwyn, Illinois

Provider Information

NPI Number: 1235447665
Entity Type: Individual
Name: Alison Rose Wagner, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: BS
Enumeration Date: Sep 20, 2010
Last Updated: Sep 20, 2010

Practice Location

Address: 6918 WINDSOR AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-3334
Phone: (708) 745-5277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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