DR. Frederick Wagner, M.D.

NPI #1770589053 in Glen Carbon, Illinois

Provider Information

NPI Number: 1770589053
Entity Type: Individual
Name: DR. Frederick Wagner, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Jun 22, 2005
Last Updated: Apr 14, 2017

Practice Location

Address: 5921 MERIDIAN WOODS DRIVE
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1545
Phone: (618) 391-5883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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