Josh David Wagner D.C.

NPI 1629380175 - Chiropractor - 111N00000X

NPI Details
NPI 1629380175
Gender Male
Enumeration Date 07/12/2010
Last Updated 07/12/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
48204 GRAPEVINE LN
BIG STONE CITY SD, 57216-8214, US
Phone (214) 724-4905
Fax
Business Location
48204 GRAPEVINE LN
BIG STONE CITY SD, 57216-8214, US
Phone (214) 724-4905
Fax
Toxanomy
Taxonomy Code 111N00000X
License State South Dakota
License Number 1178
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According to our database, Dr. Josh David Wagner D.C. NPI is 1629380175, taxonomy code is 111N00000X and license number is 1178, license state is located at South Dakota. Josh David Wagner D.C. physically located at 48204 Grapevine Ln, Big Stone City SD, 57216-8214. NPI Number Josh David Wagner D.C. has the Individual type.

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1629380175 NPI number is provided on an as is basis without warranty of any kind. 1629380175 is maintained by the National Plan & Provider Enumeration System. The contents of Josh David Wagner D.C. are for informational purposes only.