Individual
DR. FREDERICK WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5921 MERIDIAN WOODS DRIVE, GLEN CARBON, IL 62034-1545
(618) 391-5883
Mailing address
150 BLUFF AVE, NORTH AUGUSTA, SC 29841-3862
(800) 394-4445
(706) 396-3252
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036124604
IL
207L00000X
Anesthesiology Physician
113352
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770589053
—
IL
05
—
205374309
—
MO
Enumeration date
06/22/2005
Last updated
04/14/2017
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