Organization · Type 2 NPI
Wayne L. Wagoner, Dpm, PC
Podiatric Clinic/Center · Maquoketa, IA
NPI number
1568707446
Active
Practice location
515 Rosemere Ln
Maquoketa, IA 52060-2615
Fax (563) 652-9778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | 00526 (IA) |
Podiatric Clinic/Center: Definition to come...
Another provider at this address
About NPI 1568707446
Wayne L. Wagoner, Dpm, PC's National Provider Identifier is 1568707446, issued on Dec 4, 2012. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Maquoketa, IA. The record was last updated on Dec 4, 2012.