Individual
JOSEPH VANWAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
470 HOME DR, PITTSBURGH, PA 15275-1204
(412) 787-7400
(412) 787-7407
Mailing address
470 HOME DR, PITTSBURGH, PA 15275-1204
(412) 787-7400
(412) 787-7407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010915
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC010915
STATE LISC
PA
Enumeration date
07/28/2014
Last updated
03/05/2016
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