Michael Wagner, SC
Michael Wagner, SC is a Psychiatry Physician in Naperville, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
650 E Diehl Rd Ste 121Naperville, IL 60563-4801
Phone: (847) 987-5450
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 042619749 (IL) |
|---|
Record details
| NPI number | 1700122595 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Wagner — President · (847) 987-5450 |
| NPI enumerated | December 24, 2012 |
| Last updated in NPPES | September 26, 2022 |
| Certification date | September 26, 2022 |
| Mailing address | 650 E Diehl Rd, Suite 121, Naperville, IL 60563-4801 |
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