Organization
WAGNER FAMILY CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R WAGNER DC (SECRETARY)
(920) 968-0464
Entity
Organization
Contact information
Practice address
N110 BRUX RD, APPLETON, WI 54915-9439
(920) 968-0464
(920) 968-0482
Mailing address
N110 BRUX RD, APPLETON, WI 54915-9439
(920) 968-0464
(920) 968-0482
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13327-146
WI
Other
Enumeration date
02/17/2016
Last updated
06/11/2024
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