Jennifer Ranee Dewilde DC

NPI 1306905054 - Chiropractor - 111N00000X

NPI Details
NPI 1306905054
Gender Female
Enumeration Date 12/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
930 WEST MARKET
SUITE 1
RED BUD IL, 62278, US
Phone (618) 282-3900
Fax (618) 282-3971
Business Location
930 WEST MARKET
SUITE 1
RED BUD IL, 62278, US
Phone (618) 282-3900
Fax (618) 282-3971
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Mrs. Jennifer Ranee Dewilde DC NPI is 1306905054, taxonomy code is 111N00000X Jennifer Ranee Dewilde DC physically located at 930 West Market, Red Bud IL, 62278. NPI Number Jennifer Ranee Dewilde DC has the Individual type.

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1306905054 NPI number is provided on an as is basis without warranty of any kind. 1306905054 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Ranee Dewilde DC are for informational purposes only.