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1770563009
OSVALDO WAGENER
MELROSE PARK, IL
NPI
1770563009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: IL 036086015)
Enumeration Date
2006-01-20
Last Update Date
2017-03-10
Business Address
Dr. OSVALDO WAGENER M.D.
1111 SUPERIOR ST SUITE 204
MELROSE PARK, IL 60160-4138
Phone number: 708-223-7920
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Mailing Address
Dr. OSVALDO WAGENER M.D.
1111 SUPERIOR ST SUITE 204
MELROSE PARK, IL 60160-4138
Phone number: 708-223-7920
Copy
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