JACK WAGNER

INDIANAPOLIS, IN
NPI1962398131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05016107A)
Enumeration Date2025-06-16
Last Update Date2025-08-08
Business Address
JACK WAGNER
8628 PURDUE RD
INDIANAPOLIS, IN 46268-1114
Phone number: 317-677-0660
Mailing Address
JACK WAGNER
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number:
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