MAXIMILIAN WAGNER

CHICAGO, IL
NPI1497568943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: IL  125.087645)
Enumeration Date2025-01-29
Last Update Date2026-06-11
Business Address
MAXIMILIAN WAGNER
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 773-702-6302
Mailing Address
MAXIMILIAN WAGNER
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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