MEDICARE: SARA MARIE WAGSCHAL DC

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
1	111N00000X	Chiropractor	088479	IA

General Provider Information

NPI Number	:	1932602489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA MARIE WAGSCHAL DC

Provider Business Mailing Address
First Line	:	7241 APPLE VALLEY DR
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50324-1729
Country	:	US
Telephone Number	:	515-255-4706
Fax Number	:

Provider Business Practice Location Address
First Line	:	7241 APPLE VALLEY DR
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50324-1729
Country	:	US
Telephone Number	:	515-255-4706
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2018
Last Update Date	:	03/12/2018

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Directions to “ SARA MARIE WAGSCHAL DC” Practice Location

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