Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEADRA L WAGNER, D.C.
Active Sole ProprietorDEADRA L WAGNER, D.C. is a Chiropractor healthcare provider located in BENTON HARBOR, Michigan. NPI 1538290234 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · BENTON HARBOR, MI
Registration Details
- NPI Number
- 1538290234
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2007 (19.474153860471 yrs)
- Last Updated
- Jan 20, 2010
- License
-
038009468 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1459 MIAMI RDBENTON HARBOR, MI, 490226055Browse MI providers · Browse ZIP 49022
- Phone
- 2692087031
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in BENTON HARBOR, MI
| Name | Credential | NPI |
|---|---|---|
| WILLIAM JOHN GOLAS | DC | 1952329005 |
| DR. SANDRA VON MARTIN | D.C. | 1225471055 |
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.