Individual
DR. MICHAEL RYAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
N110 BRUX RD, APPLETON, WI 54915-9439
(920) 968-0464
(920) 968-0482
Mailing address
N110 BRUX RD, APPLETON, WI 54915-9439
(920) 968-0464
(920) 968-0482
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4131-012
WI
Other
Enumeration date
05/31/2005
Last updated
06/11/2024
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