| NPI | 1710512819 |
|---|---|
| Doing Business As | LYNN K WAGNER, MD INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KASI STANKEVICH Clinic Manager 920-632-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |