Individual provider · Type 1 NPI
Michael Paul Wagner, DC
Chiropractor · Glendale Heights, IL
NPI number
1619159084
Active
Practice location
544E. North Ave
Glendale Heights, IL 60139
Mailing address
544 North Ave
Glendale Heights, IL 60139-3119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.010967 (IL) |
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 1619159084
Michael Paul Wagner, DC's National Provider Identifier is 1619159084, issued on Nov 28, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Glendale Heights, IL. The record was last updated on Nov 28, 2007.