institution
Wayne L. Wagoner, Dpm, Pc
Podiatric Clinic/Center in Maquoketa, Iowa
NPI 1568707446

Wayne L. Wagoner, Dpm, Pc is a Podiatric Clinic/Center based in Maquoketa, IA and is specialized in Podiatric. Wayne L. Wagoner, Dpm, Pc practices in Maquoketa, IA. The NPI Number for Wayne L. Wagoner, Dpm, Pc is 1568707446 and holds a License No. 00526 (Iowa).

The current practice location address for Wayne L. Wagoner, Dpm, Pc is 515 Rosemere Ln, Maquoketa, IA and can be reached out via phone at 563-652-9777 and via fax at 563-652-9778.

Location: 515 Rosemere Ln, Maquoketa, IA, 52060-2615
institution
Provider Profile Details
NPI Number
1568707446
Provider Name
Wayne L. Wagoner, Dpm, Pc
Credential
Provider Entity Type
Organization
Address
515 Rosemere Ln, Maquoketa, IA, 52060-2615
Phone Number
563-652-9777
Fax Number
563-652-9778
Provider Enumeration Date
12/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083683 05 IA
institution
Provider Business Practice Location Address Details
Address
515 Rosemere Ln
City
State
Zip
52060-2615
Phone Number
563-652-9777
Fax Number
563-652-9778
person
Provider Business Mailing Address Details
Address
515 Rosemere Ln
City
State
Zip
52060-2615
Phone Number
563-652-9777
Fax Number
563-652-9778
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
00526 (Iowa)
Definition
Definition to come...
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