WAYNE L WAGONER

MAQUOKETA, IA
NPI1508079138
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: IA  00526)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Dr. WAYNE L WAGONER DPM
515 ROSEMERE LN
MAQUOKETA, IA 52060-2615
Phone number: 563-652-9777
Mailing Address
Dr. WAYNE L WAGONER DPM
515 ROSEMERE LN
MAQUOKETA, IA 52060-2615
Phone number: 563-652-9777