CHRISTOPHER JOSEPH WAGNER

PEORIA, IL
NPI1861029779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-23
Last Update Date2020-04-07
Business Address
CHRISTOPHER JOSEPH WAGNER DO
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-7768
Mailing Address
CHRISTOPHER JOSEPH WAGNER DO
1964 N BLUE WATER CT
SUTTONS BAY, MI 49682-9745
Phone number:
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