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Individual

DR. DARIN JOHN WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2700 ANNAPOLIS CIR N STE D, PLYMOUTH, MN 55441-2504
(612) 208-2032
(612) 567-4382
Mailing address
2700 ANNAPOLIS CIR N STE D, PLYMOUTH, MN 55441-2504
(612) 208-2032
(612) 567-4382

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6180
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6180
MN STATE LICENSE
MN
Enumeration date
12/31/2015
Last updated
03/14/2025
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