Individual provider · Type 1 NPI
Jeremy M. Wagnon, DC
Chiropractor · Sheboygan, WI
NPI number
1679879050
Active
Practice location
615 Pennsylvania Ave
Sheboygan, WI 53081-4642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | CHIR008777 (GA) |
| Chiropractor Primary | 111N00000X | 4838-12 (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.
3 other providers at this address
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About NPI 1679879050
Jeremy M. Wagnon, DC's National Provider Identifier is 1679879050, issued on Feb 2, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sheboygan, WI. The record was last updated on Jul 6, 2012.