Individual provider · Type 1 NPI
Brian K. Wagoner, DC
Chiropractor · Perrysburg, OH
NPI number
1235213976
Active
Practice location
25139 Ella St
Perrysburg, OH 43551-9684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3177 (OH) |
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 1235213976
Brian K. Wagoner, DC's National Provider Identifier is 1235213976, issued on Oct 25, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Perrysburg, OH. The record was last updated on Jul 12, 2009.