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DR. MICHAEL PAUL WAGNER D.C. NPI 1619159084


NPI Information

NPI: 1619159084
Provider Name: DR. MICHAEL PAUL WAGNER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
544E. NORTH AVE
GLENDALE HEIGHTS, IL
ZIP 60139
Phone: (630) 534-5400
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DR. Michael Paul Wagner, D.C. is a chiropractor in Glendale Heights, IL with 18 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Michael Paul Wagner, D.C. NPI is 1619159084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NATIONAL COLLEGE OF CHIROPRACTIC
Graduation Year:2006

The provider's business location address is:

544E. NORTH AVE
GLENDALE HEIGHTS, IL
ZIP 60139
Phone: (630) 534-5400

The enumeration date for this NPI number is 11/28/2007 and was last updated on 11/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038.010967ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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