Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wallace J Wagner

Individual provider Chiropractor · NPI 1275507089

Dr. Wallace J Wagner is a Chiropractor in Sioux City, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2006

Practice location Address checks out

1723 Grandview Blvd
Sioux City, IA 51105-1116
Phone: (712) 258-1021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 04516 (IA)

Record details

NPI number1275507089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 16, 2006
Last updated in NPPESDecember 18, 2013

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