NPI 1083791818

James M Wagner, DC

Practitioner Sports Physician Chiropractor Annapolis, MD

Practice location

Address: 107 Ridgely Ave STE. 11, Annapolis, MD 21401-1417
Phone: (410) 267-0033
Fax: (410) 267-0667

Registered specialties

Sports Physician Chiropractor Primary

Chiropractic Providers Taxonomy 111NS0005X Licence 1457/PT (MD)

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Registry record

NPI: 1083791818
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2006
Record last updated: 8 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.