Individual
TIMOTHY WAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 DAKOTA AVE S STE 3, HURON, SD 57350-1960
(605) 461-8183
Mailing address
259 DAKOTA AVE S STE 3, HURON, SD 57350-1960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1475
SD
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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