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NPI Code Detail

MEDICARE: DR. SANDRA M AGER D.C.

MEDICARE:  DR. SANDRA M AGER  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4289-012WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386770253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA M AGER D.C.
Provider Business Mailing Address
First Line : 1127 HERITAGE CT
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-3063
Country : US
Telephone Number : 608-279-0405
Fax Number :
Provider Business Practice Location Address
First Line : 948 W MAIN ST
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-2039
Country : US
Telephone Number : 608-318-1786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 09/11/2014

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Directions to “ DR. SANDRA M AGER D.C.” Practice Location

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