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Jamie R Wagner

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NPI Number Detailed Information

Provider Information:

Name: Jamie R Wagner
Gender: F
Provider License Number If Given: 3206-125

NPI Information:

NPI: 1073557229
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/16/2006

Last Update Date: 9/14/2015

Provider Business Mailing Address:

Address: 1748 GATEWAY BLVD
Beloit, WI 53511
Phone Number: 6082906705
Fax Number: 8663038062

Provider Business Practice Location Address:

Address: 11447 2ND ST SUITE 9B
Roscoe, IL 61073
Phone Number: 8156014673
Fax Number: 8663038062

Provider Taxonomy:

Primary: 101YM0800X
Secondary (if any): 101YP2500X
State: IL

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About Jamie R Wagner

Jamie R Wagner ( JAMIE R WAGNER ) is Definition Counselor Physician in Roscoe, IL. The NPI Number for Jamie R Wagner is 1073557229.
The current location address for Jamie R Wagner is 11447 2ND ST SUITE 9B Roscoe, IL 61073 and the contact number is 6082906705 and fax number is 8663038062. The mailing address for Jamie R Wagner is 1748 GATEWAY BLVD Beloit, WI 53511- 8156014673 (mailing address contact number - 6082906705).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Jamie R Wagner ?


Answer: The NPI Number for Jamie R Wagner is 1073557229

Where is Jamie R Wagner located?


Answer: Jamie R Wagner is located at 11447 2ND ST SUITE 9B Roscoe, IL 61073.

What is the specialty for Jamie R Wagner ?


Answer: The Specialty of Jamie R Wagner is Definition Counselor Physician.

Are there any online reviews for Jamie R Wagner ?


Answer: Not yet!

Are there any other health care providers in Roscoe, IL?


Answer: Yes, there are given below...

More Providers in Roscoe , IL

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Jamie R Wagner
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NPI Number: 1073557229
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Dr. Tarek Samir Harb
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Mrs. Trina Renee Morgan
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Jamie R Wagner in Other Directories

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