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DR. SAMUEL WAGNER DC
NPI 1114695186
Chiropractor in Green Bay, WI

Active since September 02, 2021
2525 W MASON ST, GREEN BAY, WI 54303(920) 429-2844 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Wagner Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL WAGNER DC (NPI 1114695186) is an individual chiropractor in Green Bay, Wisconsin, licensed in Wisconsin (5680-12) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1114695186
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SAMUEL WAGNERCredential: DC
Location Address2525 W MASON STGreen Bay, WI 54303-4838
Mailing Address2525 W Mason StGreen Bay, WI 54303-4838 · (920) 429-2844
Phone(920) 429-2844
Sole ProprietorNo
Enumeration DateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1114695186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5680-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2525 W MASON ST, Green Bay, WI 54303
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN LEMMONS D.C.
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
THE WELLNESS WAY GREEN BAY LLC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
KENDRA ALLEN DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
DR. PATRICK MICHAEL FLYNN D.C.
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
DR. DESTINY DECKER DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (607) 857-4087
JASON WILLIAM NOBLES DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
ANTHONY JAMES OTTO DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
MITCHELL DALE SUTTON DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Wagner's NPI number?

The NPI number for Samuel Wagner is 1114695186. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Samuel Wagner located?

Samuel Wagner practices at 2525 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 429-2844.

What is Samuel Wagner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Samuel Wagner was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.