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Organization
WAGNER HEALTH LLC
Active
Organization
WAGNER HEALTH LLC
Active
Other names
Core Lifestyle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIN JOHN WAGNER DC (CHIROPRACTOR/OWNER)
(507) 261-2997
Entity
Organization
Contact information
Practice address
2700 ANNAPOLIS CIR N STE D, PLYMOUTH, MN 55441-2504
(612) 354-2509
(612) 872-9667
Mailing address
2700 ANNAPOLIS CIR N STE D, PLYMOUTH, MN 55441-2504
(612) 208-2032
(612) 567-4382
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6180
CHIROPRACTIC LICENSE NUMBER
MN
Enumeration date
02/13/2023
Last updated
03/14/2025
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