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Dr. Mitchell John Wagner, DC
Chiropractor in Minneapolis, Minnesota
NPI 1144704925

Mitchell John Wagner is a Chiropractor based in Minneapolis, MN. Mitchell John Wagner practices in Minneapolis, MN and has the professional credentials of DC. The NPI Number for Mitchell John Wagner is 1144704925 and holds a License No. 6461 (Minnesota).

The current practice location address for Mitchell John Wagner is 34 13Th Ave Ne Ste B002C, Minneapolis, MN and can be reached out via phone at 612-879-8000.

Location: 34 13Th Ave Ne Ste B002C, Minneapolis, MN, 55413-1091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144704925
Provider Name
Mitchell John Wagner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
34 13Th Ave Ne Ste B002C, Minneapolis, MN, 55413-1091
Phone Number
612-879-8000
Fax Number
Provider Enumeration Date
09/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6461 01 MN N/A
institution
Provider Business Practice Location Address Details
Address
34 13Th Ave Ne Ste B002C
City
Minneapolis
State
Minnesota
Zip
55413-1091
Phone Number
612-879-8000
Fax Number
person
Provider Business Mailing Address Details
Address
34 13Th Ave Ne Ste B002C
City
Minneapolis
State
Minnesota
Zip
55413-1091
Phone Number
612-879-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
6461 (Minnesota)
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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