Individual
ANTHONY VANWAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA.OM. L.AC.
Contact information
Practice address
14464 SUMTER AVE, SAVAGE, MN 55378-1727
(651) 367-9929
Mailing address
14464 SUMTER AVE, SAVAGE, MN 55378-1727
(651) 367-9929
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1609
MN
171100000X
Acupuncturist
767-55
WI
Other
Enumeration date
01/29/2017
Last updated
02/27/2022
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