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Meredith Wall Wagner, MD
Dermatology Physician in Decatur, Illinois
NPI 1316380694

Meredith Wall Wagner is a Dermatology Physician based in Germantown, IL. Meredith Wall Wagner practices in Decatur, IL and has the professional credentials of MD. The NPI Number for Meredith Wall Wagner is 1316380694 and holds a License No. 58455 (Illinois).

The current practice location address for Meredith Wall Wagner is 102 W Kenwood Ave Lowr Level, Decatur, IL and can be reached out via phone at 217-545-8000 and via fax at 217-545-7732.

Location: 102 W Kenwood Ave Lowr Level, Decatur, IL, 38138-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316380694
Provider Name
Meredith Wall Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
102 W Kenwood Ave Lowr Level, Decatur, IL, 38138-2200
Phone Number
217-545-8000
Fax Number
217-545-7732
Provider Enumeration Date
04/16/2013
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
102 W Kenwood Ave Lowr Level
City
Decatur
State
Illinois
Zip
62526-4368
Phone Number
217-545-8000
Fax Number
217-545-7732
person
Provider Business Mailing Address Details
Address
102 W Kenwood Ave Lowr Level
City
Decatur
State
Illinois
Zip
62526-4368
Phone Number
217-545-8000
Fax Number
217-545-7732
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
58455 (Tennessee)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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