DR. Wayne L Wagoner, DPM

NPI #1508079138 in Maquoketa, Iowa

Provider Information

NPI Number: 1508079138
Entity Type: Individual
Name: DR. Wayne L Wagoner, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 515 ROSEMERE LN
City: Maquoketa
State: Iowa
ZIP Code: 52060-2615
Phone: (563) 652-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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