DANIEL M WAGNER

MITCHELL, SD
NPI1912957713
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SD  0049)
Enumeration Date2006-05-11
Last Update Date2007-07-08
Business Address
MR. DANIEL M WAGNER ATC
1200 W UNIVERSITY AVE BOX 912
MITCHELL, SD 57301-4358
Phone number: 605-995-2145
Mailing Address
MR. DANIEL M WAGNER ATC
1200 W UNIVERSITY AVE BOX 912
MITCHELL, SD 57301-4358
Phone number: 605-995-2145
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