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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, February 17, 2018 12:57 PM CST
Next Update: Saturday, February 17, 2018 4:30 PM CST

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WAGNER, ANDREW FREDERICK
Practice Address: 250 E. SUPERIOR STREET
SUITE 05-2175
CHICAGO IL 60611

Address last updated on 5/7/2017
Phone #: (312) 472-1790
Fax #: (312) 472-4687
County: NOT OKLAHOMA
License: 24431
Dated: 6/24/2005
Expires: 6/1/2018
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Medical Genetics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Certifications: AMERICAN BOARD OF MEDICAL GENETICS (Clinical Genetics)
Expired- AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
Medical School: Univ of WI Sch of Med & Public Hlth, Madison, WI
Graduated: 5 / 1999
CME Year: 2020
Disciplinary History: No Disciplinary Action Taken.
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
CommunityCare HMO, Inc
Evolutions Healthcare
First Health
HealthChoice
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
Physicians Direct Network
PPO USA
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
250 E. SUPERIOR STREET
SUITE 05-2175
CHICAGO IL 60611

Phone #: (312) 472-1790
Fax #: (312) 472-4687
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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