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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMY M WAGNON, D.C.

Active

DR. JEREMY M WAGNON, D.C. is a Chiropractor healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1679879050 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · SHEBOYGAN, WI

Registration Details

NPI Number
1679879050
Provider Type
Individual
Gender
Male
NPI Issued
Feb 2, 2011 (15.539657026267 yrs)
Last Updated
Jul 6, 2012
Licenses
CHIR008777 (GA)
4838-12 (WI)

Practice Information

Address
615 PENNSYLVANIA AVE
SHEBOYGAN, WI, 530814642
Browse WI providers · Browse ZIP 53081
Phone
4047546779
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Chiropractor

Other Chiropractor Providers in SHEBOYGAN, WI

Name Credential NPI
DR. JOE ALAN DIRKER D.C. 1356340418
DR. RENEE A STAUFFACHER DC 1821050030
DR. THOMAS CARL KLOIBER D.C. 1730295718
DR. JENNIFER LYNN MILLS D.C. 1699856906
DR. JAMES L CAREY D.C. 1841371192
DR. RICHARD T KNOWLES DC 1841341906
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.