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Individual

DR. MICHAEL L WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
9615 LEVIN RD NW, SUITE 100, SILVERDALE, WA 98383-7666
(360) 692-3800
(360) 692-3700
Mailing address
9615 LEVIN RD NW, SUITE 100, SILVERDALE, WA 98383-7666
(360) 692-3800
(360) 692-3700

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003618
WA

Other

Enumeration date
07/10/2006
Last updated
04/20/2011
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