Diane Jordan-wagner M.D.

NPI 1013025097 - Internal Medicine - 207RA0201X

NPI Details
NPI 1013025097
Gender Female
Enumeration Date 08/29/2006
Last Updated 03/14/2013
Entity Type Individual
Active Over 12 years ago
Practice Location
1429 N 6TH ST
TERRE HAUTE IN, 47804-1037, US
Phone (812) 232-0564
Fax (812) 235-3330
Business Location
221 S 6TH ST
TERRE HAUTE IN, 47807-4214, US
Phone (812) 232-0564
Fax (812) 235-3330
Taxonomy Code 207RA0201X
License State Illinois
License Number 36106006
Remove 1013025097 NPI Number

According to our database, Diane Jordan-wagner M.D. NPI is 1013025097, taxonomy code is 207RA0201X and license number is 36106006, license state is located at Illinois. Diane Jordan-wagner M.D. physically located at 1429 N 6th St, Terre Haute IN, 47804-1037. NPI Number Diane Jordan-wagner M.D. has the Individual type.

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1013025097 NPI number is provided on an as is basis without warranty of any kind. 1013025097 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Jordan-wagner M.D. are for informational purposes only.