STEPHEN W WAGNER

SPRINGFIELD, IL
NPI1669432415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209000775)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
-- STEPHEN W WAGNER CRNA
701 N IST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3754
Mailing Address
-- STEPHEN W WAGNER CRNA
701 N IST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3754
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