Andrew Wagner Chiropractic LLC
Organization Active NPI Chiropractor · Fargo, ND
NPI 1457520124 · NPPES record last updated Feb 26, 2008
Key facts
- NPI
- 1457520124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 809 (ND)
- Legal business name
- ANDREW WAGNER CHIROPRACTIC LLC
- Practice address
- 4357 13TH Ave S
Fargo, ND 58103-3381 - Phone
- (701) 356-2225
- NPI assigned
- Feb 26, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew Mark Wagner, D.C.
- Title
- Chiropractor
- Phone
- (701) 269-3219
National Provider Directory
Locations
4357 13th Ave S
Fargo, ND 58103
Phone (701) 356-2225
4357 13th Ave S
Ste 100
Fargo, ND 58103
Phone (701) 269-3219
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 809 | ND | Yes |
Addresses
Primary practice location
4357 13TH Ave S
Fargo, ND 58103-3381
Mailing address
3570 42ND St S
Apartment 106
Fargo, ND 58104-6959
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.