Wilford Tyrel Wagner, H.I.S

NPI #1689012684 in Niles, Illinois

Provider Information

NPI Number
1689012684
Entity Type
Individual
Name
Wilford Tyrel Wagner, H.I.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Hearing Instrument Specialist
Credential
H.I.S
Enumeration Date
Jun 12, 2013
Last Updated
Aug 15, 2019

Practice Location

Address
7317 N HARLEM AVE
City
Niles
ZIP Code
60714-4252
Phone
(847) 588-1895

Specialties & Taxonomy Codes

Specialty
Hearing Instrument Specialist

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