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Individual
ANDREW F WAGNER
Active
Individual
ANDREW F WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
036141407
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036141407
IL
Other
Enumeration date
03/10/2006
Last updated
06/04/2019
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