Individual
CHRISTIAN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1233 MAIN AVE, CLIFTON, NJ 07011-2241
(973) 604-0260
Mailing address
21 STONE CT, MORRISTOWN, NJ 07960-3177
(518) 937-6894
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00801700
NJ
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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