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Blake Joseph Wagner, DC
Chiropractor in Poulsbo, Washington
NPI 1134267735

Blake Joseph Wagner is a Chiropractor based in Poulsbo, WA. Blake Joseph Wagner practices in Poulsbo, WA and has the professional credentials of DC. The NPI Number for Blake Joseph Wagner is 1134267735 and holds a License No. CH00003095 (Washington).

The current practice location address for Blake Joseph Wagner is 21505 Market Pl Nw, Poulsbo, WA and can be reached out via phone at 360-598-3143 and via fax at 360-598-4172.

Location: 21505 Market Pl Nw, Poulsbo, WA, 98370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134267735
Provider Name
Blake Joseph Wagner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
21505 Market Pl Nw, Poulsbo, WA, 98370
Phone Number
360-598-3143
Fax Number
360-598-4172
Provider Enumeration Date
02/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
21505 Market Pl Nw
City
Poulsbo
State
Washington
Zip
98370-6635
Phone Number
360-598-3143
Fax Number
360-598-4172
person
Provider Business Mailing Address Details
Address
21505 Market Pl Nw
City
Poulsbo
State
Washington
Zip
98370-6635
Phone Number
360-598-3143
Fax Number
360-598-4172
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH00003095 (Washington)
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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