Individual provider · Type 1 NPI

Gerrit Lee Wagner, DC, L.AC

Chiropractor · Redlands, CA

NPI number 1720480189 Active

Practice location

620 Alabama St
Redlands, CA 92373-8059

Call (909) 792-4434 Map

Fax (909) 335-1139

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC33062 (CA)
Acupuncturist 171100000XAC16183 (CA)

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 1720480189

Gerrit Lee Wagner, DC, L.AC's National Provider Identifier is 1720480189, issued on Sep 17, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Redlands, CA. The record was last updated on Mar 3, 2015.