Individual
DR. DAVID LOUIS WAGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1500 WALNUT ST, MZ 05, PHILADELPHIA, PA 19102-3523
(215) 546-5660
(215) 933-3120
Mailing address
125 FAIR MEADOW DR, DOUGLASSVILLE, PA 19518-1146
(215) 651-8180
(215) 933-3120
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004613L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500541000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
06/03/2006
Last updated
09/07/2011
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