Wagner Family Wellness Center LLC
NPI #1629377940 in Poulsbo, Washington
Provider Information
- NPI Number
- 1629377940
- Entity Type
- Organization
- Organization Name
- Wagner Family Wellness Center LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 25, 2011
- Last Updated
- Dec 29, 2011
Practice Location
- Address
- 21505 MARKET PL NW
- Address 2
- SUITE 102
- City
- Poulsbo
- State
- Washington
- ZIP Code
- 98370-6635
- Phone
- (360) 598-3143
Authorized Official
- Name
- DR. BLAKE JOSEPH WAGNER, D.C.
- Title
- MEMBER/MANAGER
- Phone
- (360) 598-3143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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