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Samantha Wagner
NPI 1124524608 · on the registry since 2018
Practice
- Address
- 8616 Northern Ave
Rockford, IL 61107 - Phone
- (815) 332-8003
- Fax
- (815) 332-6090
- Organisation at this address
- Rosecrance, Inc.
Rosecrance, Inc.
Janet Wattles CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2018-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois