| NPI | 1053858092 |
|---|---|
| Other Name | ANTHONY BURTON VANWAGNER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MN 1609) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 767-55) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2022-02-27 |