person
Michael C Wagner II, FNP
Family Nurse Practitioner in Danville, Illinois
NPI 1073655825

Michael C Wagner II is a Family Nurse Practitioner based in Danville, IL and is specialized in Family. Michael C Wagner II practices in Danville, IL and has the professional credentials of FNP. The NPI Number for Michael C Wagner II is 1073655825 and holds a License No. 209003483 (Illinois).

The current practice location address for Michael C Wagner II is 603 N Logan Ave, Danville, IL and can be reached out via phone at 217-213-5254 and via fax at 217-213-5240.

Location: 603 N Logan Ave, Danville, IL, 61832-4320
person
Provider Profile Details
NPI Number
1073655825
Provider Name
Michael C Wagner II
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
603 N Logan Ave, Danville, IL, 61832-4320
Phone Number
217-213-5254
Fax Number
217-213-5240
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
603 N Logan Ave
City
State
Zip
61832-4320
Phone Number
217-213-5254
Fax Number
217-213-5240
person
Provider Business Mailing Address Details
Address
603 N Logan Ave
City
State
Zip
61832-4320
Phone Number
217-213-5254
Fax Number
217-213-5240
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209003483 (Illinois)
Definition
Definition to come...
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