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1154308039
ROBERT WAGNER
MAYWOOD, IL
NPI
1154308039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085N0904X Radiology, Nuclear Radiology
(Licence: IL 36071977)
Enumeration Date
2005-12-30
Last Update Date
2021-04-23
Business Address
ROBERT WAGNER MD
2160 S 1ST AVE (MCGAW ENT., RM 47)
MAYWOOD, IL 60153
Phone number: 708-216-5221
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Mailing Address
ROBERT WAGNER MD
2160 S 1ST AVE (MCGAW ENT., RM 47)
MAYWOOD, IL 60153
Phone number: 708-216-5221
Copy
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