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Dr. Benjamin J Wagner, DO
Emergency Medicine Physician in Carbondale, Illinois
NPI 1497047567

Benjamin J Wagner is a Emergency Medicine Physician based in Johnstown, IL. Benjamin J Wagner practices in Carbondale, IL and has the professional credentials of DO. The NPI Number for Benjamin J Wagner is 1497047567 and holds a License No. OS016686 (Illinois).

The current practice location address for Benjamin J Wagner is 405 W Jackson St, Carbondale, IL and can be reached out via phone at 618-549-0721 and via fax at 618-457-0469.

Location: 405 W Jackson St, Carbondale, IL, 15905-4305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497047567
Provider Name
Benjamin J Wagner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
405 W Jackson St, Carbondale, IL, 15905-4305
Phone Number
618-549-0721
Fax Number
618-457-0469
Provider Enumeration Date
05/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036140784 05 IL
institution
Provider Business Practice Location Address Details
Address
405 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1462
Phone Number
618-549-0721
Fax Number
618-457-0469
person
Provider Business Mailing Address Details
Address
405 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1462
Phone Number
618-549-0721
Fax Number
618-457-0469
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
OS016686 (Pennsylvania)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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