Individual
ALAN S. WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3849 N PERRYVILLE RD, ROCKFORD, IL 61114-8080
(815) 397-5554
(866) 914-7534
Mailing address
3849 N PERRYVILLE RD, ROCKFORD, IL 61114-8080
(815) 397-5554
(866) 914-7534
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36-099687
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099687
—
IL
Enumeration date
05/26/2006
Last updated
05/19/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us