Individual provider · Type 1 NPI

Mitchel Alan Wagner, DO

Emergency Medicine Physician · Peoria, IL

NPI number 1609440684 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2109 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X036166029 (IL)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1609440684

Mitchel Alan Wagner, DO's National Provider Identifier is 1609440684, issued on May 14, 2021. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Peoria, IL. The record was last updated on Oct 3, 2023.