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Individual

KATY MARIE WAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1118 HAMPSHIRE ST, QUINCY, IL 62301-3027
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036146020
IL
207V00000X
Obstetrics & Gynecology Physician
2014018328
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/29/2014
Last updated
05/09/2018
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