Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD W WAGONER, M.D.
ActiveRICHARD W WAGONER, M.D. is a Internal Medicine healthcare provider located in HAVANA, Illinois. NPI 1861458952 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · HAVANA, IL
Registration Details
- NPI Number
- 1861458952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.318801413371 yrs)
- Last Updated
- Jun 1, 2012
- License
-
036104579 (IL)
Practice Information
- Address
-
615 N PROMENADE STHAVANA, IL, 626441243Browse IL providers · Browse ZIP 62644
- Phone
- 3095436600
- Fax
- 3095432089
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in HAVANA, IL
| Name | Credential | NPI |
|---|---|---|
| TAD A YETTER | M.D. | 1245296979 |
| DANIEL PATRICK STOOPS | M.D. | 1801953724 |
| DR. CARLOS ALBERTO URDININEA KIRKWOOD | M.D. | 1003120783 |
| DR. KAYLA R MILLER | M.D. | 1033524350 |
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.