Dietrich B Wagner, ATC
NPI #1083392419 in Cedar Falls, Iowa
Provider Information
- NPI Number
- 1083392419
- Entity Type
- Individual
- Name
- Dietrich B Wagner, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 6, 2023
- Last Updated
- May 23, 2025
Practice Location
- Address
- 1505 SPRINGBROOK DR
- City
- Cedar Falls
- State
- Iowa
- ZIP Code
- 50613-4994
- Phone
- (515) 664-0171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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