WALLACE J WAGNER

SIOUX CITY, IA
NPI1275507089
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: IA  04516)
Enumeration Date2006-02-16
Last Update Date2013-12-18
Business Address
Dr. WALLACE J WAGNER
1723 GRANDVIEW BLVD
SIOUX CITY, IA 51105-1116
Phone number: 712-258-1021
Mailing Address
Dr. WALLACE J WAGNER
1723 GRANDVIEW BLVD
SIOUX CITY, IA 51105-1116
Phone number: 712-258-1021
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