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Individual

DR. JOSH DAVID WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
23671 SAINT FRANCIS BLVD NW, SAINT FRANCIS, MN 55070-9802
(763) 213-0615
(763) 213-0616
Mailing address
23671 SAINT FRANCIS BLVD NW, SAINT FRANCIS, MN 55070-9802
(763) 213-0615

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5428
MN

Other

Enumeration date
07/12/2010
Last updated
03/17/2018
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