Nikhil Sudhakar Wagle, MD Valid NPI
Individual provider · Ophthalmology Physician · Rock Island, IL
- NPI
- 1003893454
- Type
- Individual (Type 1)
- Primary specialty
- Ophthalmology Physician (Ophthalmology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207W00000X
- License number
- 036-100181 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-12-28
- Last updated
- 2021-03-17
Practice location
4731 45th Street Ct
Rock Island, IL 61201-7102
(309) 793-2020