Organization
WAGNER FAMILY CHIROPRACTIC CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E WAGNER D.C. (DIRECTOR)
(515) 270-5868
Entity
Organization
Contact information
Practice address
8553 HICKMAN RD, URBANDALE, IA 50322-4321
(515) 270-5868
(515) 270-5878
Mailing address
8553 HICKMAN RD, URBANDALE, IA 50322-4321
(515) 270-5868
(515) 270-5878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5587
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076968
—
IA
Enumeration date
04/02/2007
Last updated
08/22/2007
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