Mitchel Alan Wagner DO

  • NPI 1609440684
According to our database, the NPI number for Mitchel Alan Wagner DO is 1609440684 and activated since 3 years ago. Mitchel Alan Wagner DO is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 530 Ne Glen Oak Ave, Peoria, IL 61637. You can also contact Mitchel Alan Wagner DO via telephone number is (309) 655-2109. Provider NPI information was last updated on 05/14/2021.

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Overview of Mitchel Alan Wagner DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/14/2021
  • Last updated: 05/14/2021

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 530 Ne Glen Oak Ave
    Peoria, IL 61637
  • Phone: 309-655-2109
  • Fax:

Provider Practice Location

  • Address: 530 Ne Glen Oak Ave
    Peoria, IL 61637
  • Phone: 309-655-2109
  • Fax:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mitchel Alan Wagner DO?
  • A: The npi number for Mitchel Alan Wagner DO is 1609440684.
  • Q: What are Mitchel Alan Wagner DO's specialties?
  • A: Mitchel Alan Wagner DO's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Mitchel Alan Wagner DO?
  • A: The medical license number for Mitchel Alan Wagner DO is unknow and issued in unknow in USA.
  • Q: Where is Mitchel Alan Wagner DO practice location?
  • A: Mitchel Alan Wagner DO is practicing at 530 Ne Glen Oak Ave, Peoria, IL 61637.
  • Q: How to contact Mitchel Alan Wagner DO?
  • A: You can contact Mitchel Alan Wagner DO via 309-655-2109.
Medicare Specialty
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Sports Medicine
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