Wayne Wagoner, DPM

NPI 1508079138 · on the registry since 2007 · sole proprietor

Practice

Address: 515 Rosemere Ln
Maquoketa, IA 52060
Phone: (563) 652-9777
Fax: (563) 652-9778
Organisation at this address: Wayne L. Wagoner, Dpm, Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Podiatrist
213E00000X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa