Central Illinois Family Practice
NPI #1558665596 in Danville, Illinois
Provider Information
- NPI Number
- 1558665596
- Entity Type
- Organization
- Organization Name
- Central Illinois Family Practice
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 5, 2011
- Last Updated
- Jan 5, 2011
Practice Location
Authorized Official
- Name
- MR. MICHAEL CURTIS WAGNER II, FNP
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (217) 213-5254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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