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Dr. Wallace J Wagner
Chiropractor in Sioux City, Iowa
NPI 1275507089

Wallace J Wagner is a Chiropractor based in Sioux City, IA. Wallace J Wagner practices in Sioux City, IA. The NPI Number for Wallace J Wagner is 1275507089 and holds a License No. 04516 (Iowa).

The current practice location address for Wallace J Wagner is 1723 Grandview Blvd, Sioux City, IA and can be reached out via phone at 712-258-1021.

Location: 1723 Grandview Blvd, Sioux City, IA, 51105-1116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275507089
Provider Name
Wallace J Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
1723 Grandview Blvd, Sioux City, IA, 51105-1116
Phone Number
712-258-1021
Fax Number
Provider Enumeration Date
02/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1723 Grandview Blvd
City
Sioux City
State
Iowa
Zip
51105-1116
Phone Number
712-258-1021
Fax Number
person
Provider Business Mailing Address Details
Address
1723 Grandview Blvd
City
Sioux City
State
Iowa
Zip
51105-1116
Phone Number
712-258-1021
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
04516 (Iowa)
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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