Individual provider · Type 1 NPI

Samuel Wagner, DC

Chiropractor · Green Bay, WI

NPI number 1114695186 Active

Practice location

2525 W Mason St
Green Bay, WI 54303-4838

Call (920) 429-2844 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5680-12 (WI)

Chiropractor: 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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About NPI 1114695186

Samuel Wagner, DC's National Provider Identifier is 1114695186, issued on Sep 2, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Green Bay, WI. The record was last updated on Sep 2, 2021.