Archana Wagle M D a Professional Corporation

NPI #1720303605 in Moline, Illinois

Provider Information

NPI Number: 1720303605
Entity Type: Organization
Organization Name: Archana Wagle M D a Professional Corporation
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Apr 2, 2010
Last Updated: Jul 15, 2010

Practice Location

Address: 500 JOHN DEERE RD
City: Moline
State: Illinois
ZIP Code: 61265-6892
Phone: (309) 779-5000

Authorized Official

Name: ARCHANA WAGLE, MD
Title: OWNER
Phone: (847) 615-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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