Individual
DR. CHASE DANIEL WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
400 UNION ST, LAGRANGE, IN 46761-2286
(260) 499-4911
Mailing address
400 UNION ST, LAGRANGE, IN 46761-2286
(260) 499-4911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002862A
IN
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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