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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ARCHANA G WAGLE, MD

Active Sole Proprietor

ARCHANA G WAGLE, MD is a Interventional Vascular Surgery healthcare provider located in ROCK ISLAND, Illinois. NPI 1366421968 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · ROCK ISLAND, IL

Registration Details

NPI Number
1366421968
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2006 (20.568609616151 yrs)
Last Updated
Aug 16, 2023
Licenses
036100676 (IL)
036100676 (IL)
036100676 (IL)
Sole Proprietor
Yes

Practice Information

Address
2701 17TH ST
ROCK ISLAND, IL, 612015351
Browse IL providers · Browse ZIP 61201
Phone
3097795000
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.