Provider Demographics
NPI:1649218371
Name:WANGERIN, TONY PRESTON (DC)
Entity type:Individual
Prefix:DR
First Name:TONY
Middle Name:PRESTON
Last Name:WANGERIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18385 GRASSHOPPER DR
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-4838
Mailing Address - Country:US
Mailing Address - Phone:952-412-1880
Mailing Address - Fax:651-207-4028
Practice Address - Street 1:441 UNIVERSITY AVE W STE 201
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-2172
Practice Address - Country:US
Practice Address - Phone:952-412-1880
Practice Address - Fax:651-207-4028
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor