Annette M Wagner, MD

NPI #1477515807 in Westchester, Illinois

Provider Information

NPI Number: 1477515807
Entity Type: Individual
Name: Annette M Wagner, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology - Pediatric Dermatology
Credential: MD
Enumeration Date: Apr 3, 2006
Last Updated: Sep 21, 2011

Practice Location

Address: 2301 ENTERPRISE DRIVE
Address 2: #81
City: Westchester
State: Illinois
ZIP Code: 60154
Phone: (708) 836-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X	Primary

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