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Dr. Samuel Wagner, DC
Chiropractor in Green Bay, Wisconsin
NPI 1114695186

Samuel Wagner is a Chiropractor based in Green Bay, WI. Samuel Wagner practices in Green Bay, WI and has the professional credentials of DC. The NPI Number for Samuel Wagner is 1114695186 and holds a License No. 5680-12 (Wisconsin).

The current practice location address for Samuel Wagner is 2525 W Mason St, Green Bay, WI and can be reached out via phone at 920-429-2844.

Location: 2525 W Mason St, Green Bay, WI, 54303-4838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114695186
Provider Name
Samuel Wagner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2525 W Mason St, Green Bay, WI, 54303-4838
Phone Number
920-429-2844
Fax Number
Provider Enumeration Date
09/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2525 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-4838
Phone Number
920-429-2844
Fax Number
person
Provider Business Mailing Address Details
Address
2525 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-4838
Phone Number
920-429-2844
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5680-12 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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