ROBERT WAGNER

GALESBURG, IL
NPI1588663017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036051902)
Enumeration Date2005-07-18
Last Update Date2022-05-11
Business Address
ROBERT WAGNER M.D.
1361 W FREMONT ST
GALESBURG, IL 61401-2436
Phone number: 309-344-2225
Mailing Address
ROBERT WAGNER M.D.
1361 W FREMONT ST
GALESBURG, IL 61401-2436
Phone number: 309-344-2225
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