| NPI | 1689798092 |
|---|---|
| Doing Business As | WAGNER CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAY JOSEPH FITZGERALD Owner 605-384-5419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 840) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-04-16 |