NPI | 1750521209 |
---|---|
Former Legal Business Name | WAGNER CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | JAMISON MATTHEW WAGNER President 712-258-1021 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06696) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2009-02-24 |