Blake Douglas Wagner is a Physical Therapist based in Plainfield, NE. Blake Douglas Wagner practices in Fremont, NE and has the professional credentials of PT. The NPI Number for Blake Douglas Wagner is 1811057664 and holds a License No. 01883 (Nebraska).
The current practice location address for Blake Douglas Wagner is 410 E 22Nd St Ste 2, Fremont, NE and can be reached out via phone at 800-974-4378 and via fax at 630-515-1536.
Identifier | Type | State | Issuer |
---|---|---|---|
29675 | 01 | IA | BCBS IA-WELLMARK |
0762989 | 05 | IA | |
P00636067 | 01 | IA | RR MEDICARE |
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