MADELINE WAGNER

SPRINGFIELD, IL
NPI1467142166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209028193)
Enumeration Date2023-05-08
Last Update Date2024-10-01
Business Address
MADELINE WAGNER CRNA
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3000
Mailing Address
MADELINE WAGNER CRNA
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3000
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