Organization
ANDREW WAGNER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MARK WAGNER D.C. (CHIROPRACTOR)
(701) 269-3219
Entity
Organization
Contact information
Practice address
4357 13TH AVE S, FARGO, ND 58103-3381
(701) 356-2225
Mailing address
3570 42ND ST S, APARTMENT 106, FARGO, ND 58104-6959
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
809
ND
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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