Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN J WAGNER, DO
ActiveDR. BENJAMIN J WAGNER, DO is a Emergency Medicine healthcare provider located in CARBONDALE, Illinois. NPI 1497047567 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · CARBONDALE, IL
Registration Details
- NPI Number
- 1497047567
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2011 (15.252633811151 yrs)
- Last Updated
- Feb 11, 2021
- Licenses
-
OS016686 (PA)036140784 (IL)
Practice Information
- Address
-
405 W JACKSON STCARBONDALE, IL, 629011462Browse IL providers · Browse ZIP 62901
- Phone
- 6185490721
- Fax
- 6184570469
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in CARBONDALE, IL
| Name | Credential | NPI |
|---|---|---|
| DARREN SCOTT EDSON | MD | 1699777391 |
| KENT A ARNOLD | — | 1982684445 |
| DR. PARAS KANAKRAY PANDYA | M.D. | 1295706802 |
| PAULA RAE LINDNER | M.D. | 1730151499 |
| DR. OSAMA AAFLAQ | M.D. | 1083663520 |
| DR. DONNA P CARNEY | M.D. | 1164473260 |
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.