Organization
RHWHEALTHCAREPLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAGNER M.D. (AUTHORIZED OFFICIAL)
(309) 335-2037
Entity
Organization
Contact information
Practice address
115 BIRCH CT, DAHINDA, IL 61428-9767
(309) 335-2037
Mailing address
115 BIRCH CT, DAHINDA, IL 61428-9767
(309) 335-2037
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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