MRS. Caitlyn Clare Wagenbach, PA-C

NPI #1346856846 in Peoria Heights, Illinois

Provider Information

NPI Number: 1346856846
Entity Type: Individual
Name: MRS. Caitlyn Clare Wagenbach, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 20, 2020
Last Updated: Oct 22, 2024

Practice Location

Address: 4616 N PROSPECT RD
City: Peoria Heights
State: Illinois
ZIP Code: 61616-6460
Phone: (217) 528-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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