Organization
BAXPLUS OF LITITZ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD WAGNER DC (PRESIDENT)
(717) 627-0818
Entity
Organization
Contact information
Practice address
10 COPPERFIELD CIR, LITITZ, PA 17543-9481
(717) 627-0818
(717) 627-2355
Mailing address
10 COPPERFIELD CIR, LITITZ, PA 17543-9481
(717) 627-0818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005629L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001438381
—
PA
Enumeration date
08/16/2006
Last updated
02/28/2014
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