person
Alan S. Wagner, MD
Diagnostic Radiology Physician in Rockford, Illinois
NPI 1497701684

Alan S. Wagner is a Diagnostic Radiology Physician based in Rockford, IL and is specialized in Diagnostic Radiology. Alan S. Wagner practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Alan S. Wagner is 1497701684 and holds a License No. 36-099687 (Illinois).

The current practice location address for Alan S. Wagner is 3849 N Perryville Rd, Rockford, IL and can be reached out via phone at 815-397-5554 and via fax at 866-914-7534.

Location: 3849 N Perryville Rd, Rockford, IL, 61114-8080
person
Provider Profile Details
NPI Number
1497701684
Provider Name
Alan S. Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3849 N Perryville Rd, Rockford, IL, 61114-8080
Phone Number
815-397-5554
Fax Number
866-914-7534
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036099687 05 IL
institution
Provider Business Practice Location Address Details
Address
3849 N Perryville Rd
City
State
Zip
61114-8080
Phone Number
815-397-5554
Fax Number
866-914-7534
person
Provider Business Mailing Address Details
Address
3849 N Perryville Rd
City
State
Zip
61114-8080
Phone Number
815-397-5554
Fax Number
866-914-7534
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
36-099687 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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