Individual
JOHN ADAM WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
411 HYDE PARK, DOYLESTOWN, PA 18902-6619
(215) 230-8100
(215) 230-8892
Mailing address
411 HYDE PARK, DOYLESTOWN, PA 18902-6619
(215) 230-8100
(215) 230-8892
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006590L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139895
MEDICARE PTAN
PA
Enumeration date
06/09/2006
Last updated
02/19/2014
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