Organization
WAGNER CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE J WAGNER (OWNER)
(712) 258-1021
Entity
Organization
Contact information
Practice address
1723 GRANDVIEW BLVD, SIOUX CITY, IA 51105-1116
(712) 258-1021
Mailing address
1723 GRANDVIEW BLVD, SIOUX CITY, IA 51105-1116
(712) 258-1021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04516
IA
Other
Enumeration date
02/15/2006
Last updated
08/22/2020
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