DR. Jeremy M Wagnon, D.C.

NPI #1679879050 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1679879050
Entity Type: Individual
Name: DR. Jeremy M Wagnon, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Feb 2, 2011
Last Updated: Jul 6, 2012

Practice Location

Address: 615 PENNSYLVANIA AVE
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-4642
Phone: (404) 754-6779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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