Richard W Wagoner, M.D.
NPI #1861458952 in Havana, Illinois
Provider Information
- NPI Number
- 1861458952
- Entity Type
- Individual
- Name
- Richard W Wagoner, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Apr 26, 2006
- Last Updated
- Jun 1, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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