Blake Joseph Wagner, D.C.

NPI #1134267735 in Poulsbo, Washington

Provider Information

NPI Number
1134267735
Entity Type
Individual
Name
Blake Joseph Wagner, D.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Feb 3, 2007
Last Updated
Apr 25, 2011

Practice Location

Address
21505 MARKET PL NW
Address 2
SUITE 102
ZIP Code
98370-6635
Phone
(360) 598-3143

Specialties & Taxonomy Codes

Specialty
Chiropractor

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