DR. Jean Evelyn Vogel Wagner, M.D.

NPI #1902909153 in Caseyville, Illinois

Provider Information

NPI Number: 1902909153
Entity Type: Individual
Name: DR. Jean Evelyn Vogel Wagner, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Sep 6, 2006
Last Updated: Dec 5, 2012

Practice Location

Address: 1230 GEORGE E CHANCE PARKWAY
City: Caseyville
State: Illinois
ZIP Code: 62232
Phone: (618) 345-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

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