Richard W Wagoner, MD
Richard W Wagoner, MD is an Internal Medicine in Havana, Illinois. Qualified in 2001, 25 years ago. Practices with Mason Hospital District, a 39-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 25
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
615 N Promenade StHavana, IL 62644-1243
Phone: (309) 543-6600
Fax: (309) 543-2089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 036104579 (IL) |
|---|
Record details
| NPI number | 1861458952 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 26, 2006 |
| Last updated in NPPES | June 1, 2012 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Also practises | PEDIATRIC MEDICINE |
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Mason Hospital District — 39 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Havana
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Daniel Patrick Stoops, MD
615 N Promenade St, Havana, IL 62644-1243 · (309) 534-8555
-
Dr. Carlos Alberto Urdininea Kirkwood, MD
615 N Promenade St, Havana, IL 62644-1243 · (309) 543-6600
-
Tad A Yetter, MD
615 N Promenade St, Havana, IL 62644-1015 · (309) 543-6600