Individual
DR. JOHN BEN VAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
80 MAPLE AVE, STE. 6, GREAT BARRINGTON, MA 01230-1948
(413) 644-8989
(413) 644-9300
Mailing address
531 MAIN ST, GREAT BARRINGTON, MA 01230-2001
(413) 644-8989
(413) 644-9300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2279
MA
Other
Enumeration date
10/24/2006
Last updated
03/13/2020
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