Individual
CHRISTOPHER JOSEPH WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11123 CHANTILLY PKWY CT, SUITE M, PIKE ROAD, AL 36064-2880
(334) 832-2301
Mailing address
11123 CHANTILLY PKWY CT, SUITE M, PIKE ROAD, AL 36064-2880
(334) 832-2301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102202301
VA
207Q00000X
Family Medicine Physician
036.122210
IL
207Q00000X
Family Medicine Physician
Primary
DO1346
AL
Other
Enumeration date
03/24/2009
Last updated
02/18/2014
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