NPI 1023110186
Rebecca a Wagner, MD
Practice location
- Address
- 611 W. Park St. Ob/Gyn, Urbana, IL 61801
- Phone
- (217) 383-3140
- Fax
- (217) 383-4966
- Mailing address
- 611 W. Park St Bwpc, Urbana, IL 61801-2500
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1023110186
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Sep 2006
- Record last updated
- 16 May 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.