Angela B Wagner
Family Doctor Neuromusculoskeletal Medicine (NMM) Family Doctor - Hospice and Palliative Medicine
5926 Crawfordsville Rd Unit B
Indianapolis
, Indiana 46224-3722
Angela B Wagner
Family Doctor Neuromusculoskeletal Medicine (NMM) Family Doctor - Hospice and Palliative Medicine
5926 Crawfordsville Rd Unit B
Indianapolis
, Indiana 46224-3722
(773) 866-8014
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Angela B Wagner
- 30 W Monroe St Ste 1200
- Chicago, IL
- Zip : 60603-2420
- Fax : (773) 866-8014
- Phone : (815) 861-4302
Second Address
- Angela B Wagner
- 5926 Crawfordsville Rd Unit B
- Indianapolis, IN
- Zip : 46224-3722
- Fax : (317) 321-1935
- Phone : (317) 653-2730
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 02002402A | IN |
| N | 207Q00000X | Family Doctor | 02002402A | IN |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 02002402A | IN |
National Provider Identifier
| NPI | 1710928270 |
|---|---|
| Provider Name | Angela B Wagner |
| First Address | Chicago, IL 60603-2420 |
| Second Address | Indianapolis, IN 46224-3722 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2006 |
| Last Update Date | 25/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200411540 | (05) | IN |
| 200411540C | (05) | IN |
| H62998 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.