Individual
DR. MICHAEL E WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8553 HICKMAN RD, URBANDALE, IA 50322-4321
(515) 270-5868
(515) 270-5878
Mailing address
8553 HICKMAN RD, URBANDALE, IA 50322-4321
(515) 270-5868
(515) 270-5878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5587
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076968
—
IA
Enumeration date
09/14/2006
Last updated
07/08/2007
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