Individual
DR. ASHLEY LYNN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4719 SHELBURNE ST STE 2, BISMARCK, ND 58503-5677
(701) 557-7455
Mailing address
4719 SHELBURNE ST STE 2, BISMARCK, ND 58503-5677
(701) 557-7455
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
830
ND
Other
Enumeration date
10/09/2008
Last updated
03/31/2022
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