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1063514123
CHRISTIAN E WAGNER
URBANA, IL
NPI
1063514123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036092326)
Enumeration Date
2006-09-01
Last Update Date
2014-05-16
Business Address
-- CHRISTIAN E WAGNER MD
1818 E WINDSOR RD
URBANA, IL 61802-9566
Phone number: 217-255-9670
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Mailing Address
-- CHRISTIAN E WAGNER MD
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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