Matthew John Wise DC

NPI 1477600641 - Chiropractor - 111N00000X

NPI Details
NPI 1477600641
Gender Male
Enumeration Date 01/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
SAINT CHARLES MO, 63303-3255, US
Phone (636) 946-0799
Fax (314) 205-1508
Business Location
14324 S OUTER 40
Phone (314) 208-8858
Fax (314) 205-1508
Taxonomy Code 111N00000X
License State Missouri
License Number 2004017456
Remove 1477600641 NPI Number

According to our database, Dr. Matthew John Wise DC NPI is 1477600641, taxonomy code is 111N00000X and license number is 2004017456, license state is located at Missouri. Matthew John Wise DC physically located at 190 Spring Dr, Saint Charles MO, 63303-3255. NPI Number Matthew John Wise DC has the Individual type.

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1477600641 NPI number is provided on an as is basis without warranty of any kind. 1477600641 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew John Wise DC are for informational purposes only.