Individual
HOWARD WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
425 FRANKLIN AVE, HARTFORD, CT 06114-2517
(860) 883-5771
Mailing address
3000 NE 20TH CT, FORT LAUDERDALE, FL 33305-1808
(954) 565-2779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000241
CT
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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