Jack Wagoner, M.D.
NPI #1518979665 in Sycamore, Illinois
Provider Information
- NPI Number
- 1518979665
- Entity Type
- Individual
- Name
- Jack Wagoner, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery
- Credential
- M.D.
- Enumeration Date
- Aug 13, 2006
- Last Updated
- Jun 11, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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