IndividualActive
Andrew Wagner, D.C.
NPI 1629255047 · Chiropractor · Fargo, ND
Provider details
- NPI number
- 1629255047
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 809 (ND)
Specialties & taxonomies
Chiropractic Providers
Practice location
4357 13th Ave S
Suite 100
Fargo, ND 58103-3381
Phone: (701) 269-3219
Approximate (ZIP-level) locationGet directions
Mailing address
3570 42nd St S
Fargo, ND 58104-6959
Registry dates
- Enumerated
- 2008-01-28
- Last updated
- 2008-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.