Wayne L. Wagoner, Dpm, PC

NPI #1568707446 in Maquoketa, Iowa

Provider Information

NPI Number
1568707446
Entity Type
Organization
Organization Name
Wayne L. Wagoner, Dpm, PC
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Dec 4, 2012
Last Updated
Dec 4, 2012

Practice Location

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

Authorized Official

Name
DR. WAYNE LEROY WAGONER, DPM
Title
OWNER
Phone
(563) 652-9777

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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Provider Name
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