Terrance R Waggoner, DC PC

NPI #1659445096 in Shipshewana, Indiana

Provider Information

NPI Number: 1659445096
Entity Type: Organization
Organization Name: Terrance R Waggoner, DC PC
Primary Specialty: Chiropractor
Enumeration Date: Nov 18, 2006
Last Updated: Aug 15, 2008

Practice Location

Address: 8015 W US HIGHWAY 20
City: Shipshewana
State: Indiana
ZIP Code: 46565-9482
Phone: (260) 768-4333

Authorized Official

Name: BRENDA KUNIGONIS
Title: OFFICE MANAGER
Phone: (574) 533-2531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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