ALAN DUANE WAGNER

CARBONDALE, IL
NPI1881686244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041274716)
Enumeration Date2005-08-22
Last Update Date2007-07-08
Business Address
Mr. ALAN DUANE WAGNER CRNA
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
Mailing Address
Mr. ALAN DUANE WAGNER CRNA
35 ALBANY RD SUITE C
CARBONDALE, IL 62903-7605
Phone number: 618-457-5111
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