Dr. Christopher Robert Wangard
M.D. | Pediatrics | Male
Dr. Christopher Robert Wangard, M.D. is a Maryville, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Christopher Robert Wangard is
6800 State Route 162, Maryville, Illinois - 62062-8521. He can be contacted on phone at
618-288-5711.
Dr. Christopher Robert Wangard is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Christopher Robert Wangard is
1023127396 which was assigned by NPPES on 30 Aug, 2006 and it was last updated on 25 Mar, 2020.
Dr. Christopher Robert Wangard license number is
036101921 for Pediatrics (208000000X) in Illinois.
Dr. Christopher Robert Wangard is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Christopher Robert Wangard basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Christopher Robert Wangard |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Christopher Robert Wangard address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6800 State Route 162
Maryville, IL, 62062-8521
United States |
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| Phone Number : | 618-288-5711 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023127396 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Aug, 2006 |
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| Last Updated On : | 25 Mar, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Christopher Robert Wangard are as mentioned. Primary taxonomy code for Dr. Christopher Robert Wangard, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036101921 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Christopher Robert Wangard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 036101921 | MEDICAID | IL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1465 S GRAND BLVD,
SAINT LOUIS, MO, 63104-1003
United States | SAINT LOUIS, MO | #31457756004095 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3514 Shenandoah Ave
Saint Louis, MO, 63104-1724
United States |
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| Phone Number : | 618-304-4375 |
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| Fax Number : | 314-403-7676 |
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Business Location:
Patients can refer following map for directions to
Dr. Christopher Robert Wangard practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.