| Wagner Health Llc | |
|
2700 Annapolis Cir N Ste D, Plymouth, MN 55441-2504 | |
| (612) 354-2509 | |
| (612) 872-9667 |
| Full Name | Wagner Health Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2700 Annapolis Cir N Ste D, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811694631 | NPI | - | NPPES |
| 6180 | Other | MN | CHIROPRACTIC LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Darin J Wagner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134585482 PECOS PAC ID: 1456650985 Enrollment ID: I20160504000879 |
| Provider Name | Gavin P Bronson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942834734 PECOS PAC ID: 1355770694 Enrollment ID: I20200407002636 |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner Health Llc 2700 Annapolis Cir N Ste D, Plymouth, MN 55441-2504 Ph: (612) 208-2032 | Wagner Health Llc 2700 Annapolis Cir N Ste D, Plymouth, MN 55441-2504 Ph: (612) 354-2509 |
Balanced Health Chiropractic, Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12805 State Highway 55, Suite 208, Plymouth, MN 55441 Phone: 763-557-7399 | |
Mrs. Christi Jo Hillman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3390 Annapolis Lane, Suite C, Plymouth, MN 55447 Phone: 763-634-8500 | |
Stephen Timothy Johnson, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 10700 Old County Road 15, Suite 240, Plymouth, MN 55441 Phone: 763-544-2001 | |
Sjdc Ltd. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10700 County Road 15, Suite 240, Plymouth, MN 55441 Phone: 763-544-2001 | |
Northern Edge Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 5480 Nathan Ln N Ste 102, Plymouth, MN 55442 Phone: 763-316-5252 | |
Richard Larson Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1115 Vicksburg Ln N, Suite 20, Plymouth, MN 55447 Phone: 763-473-1299 | |
Andrew James Konz, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4345 Nathan Ln N, Plymouth, MN 55442 Phone: 763-536-1112 Fax: 763-536-0471 |