Organization
WAGGONER & WAGGONER DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE DANIEL WAGGONER D.C. (PRESIDENT)
(260) 499-4911
Entity
Organization
Contact information
Practice address
400 UNION ST, LAGRANGE, IN 46761
(260) 499-4911
Mailing address
400 UNION ST, LAGRANGE, IN 46761-2286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002862A
IN
Other
Enumeration date
05/26/2017
Last updated
06/13/2017
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