ALAN S. WAGNER

ROCKFORD, IL
NPI1497701684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  36-099687)
Enumeration Date2006-05-26
Last Update Date2011-05-19
Business Address
-- ALAN S. WAGNER M.D.
3849 N PERRYVILLE RD
ROCKFORD, IL 61114-8080
Phone number: 815-397-5554
Mailing Address
-- ALAN S. WAGNER M.D.
3849 N PERRYVILLE RD
ROCKFORD, IL 61114-8080
Phone number: 815-397-5554
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