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Dr. Jody Michelle Wagner, DC
Chiropractor in Appleton, Wisconsin
NPI 1487656799

Jody Michelle Wagner is a Chiropractor based in Appleton, WI. Jody Michelle Wagner practices in Appleton, WI and has the professional credentials of DC. The NPI Number for Jody Michelle Wagner is 1487656799 and holds a License No. 4062-012 (Wisconsin).

The current practice location address for Jody Michelle Wagner is N110 Brux Rd, Appleton, WI and can be reached out via phone at 920-968-0464 and via fax at 920-968-0482.

Location: N110 Brux Rd, Appleton, WI, 54915-9439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487656799
Provider Name
Jody Michelle Wagner
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
N110 Brux Rd, Appleton, WI, 54915-9439
Phone Number
920-968-0464
Fax Number
920-968-0482
Provider Enumeration Date
06/01/2005
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38957300 05 WI
institution
Provider Business Practice Location Address Details
Address
N110 Brux Rd
City
Appleton
State
Wisconsin
Zip
54915-9439
Phone Number
920-968-0464
Fax Number
920-968-0482
person
Provider Business Mailing Address Details
Address
N110 Brux Rd
City
Appleton
State
Wisconsin
Zip
54915-9439
Phone Number
920-968-0464
Fax Number
920-968-0482
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4062-012 (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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