ERIK WAGNER

SPRINGFIELD, IL
NPI1710324298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070018116)
Enumeration Date2013-05-24
Last Update Date2013-05-24
Business Address
-- ERIK WAGNER
800 E CARPENTER ST
SPRINGFIELD, IL 62769-1000
Phone number: 217-544-6464
Mailing Address
-- ERIK WAGNER
3712 WINDSHIRE DR
SPRINGFIELD, IL 62704-6718
Phone number:
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