Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WAYNE L WAGONER, DPM
Active Sole ProprietorDR. WAYNE L WAGONER, DPM is a Podiatrist healthcare provider located in MAQUOKETA, Iowa. NPI 1508079138 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · MAQUOKETA, IA
Registration Details
- NPI Number
- 1508079138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2007 (19.245378682973 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00526 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
515 ROSEMERE LNMAQUOKETA, IA, 520602615Browse IA providers · Browse ZIP 52060
- Phone
- 5636529777
- Fax
- 5636529778
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.