Wcdc Llc

NPI 1548309529 - Chiropractor - 111N00000X

NPI Details
NPI 1548309529
Enumeration Date 02/06/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WAYNE A. WAYNE
Position MANAGING MEMBER
Phone (715) 597-6326
Fax (715) 597-6326
Practice Location
50606 CHARLES ST.
OSSEO WI, 54758, US
Phone (715) 597-6326
Fax (715) 597-6326
Business Location
PO BOX 67
OSSEO WI, 54758-0067, US
Phone (715) 597-6325
Fax (715) 597-6326
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 2179-012
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According to our database, Wcdc Llc NPI is 1548309529, taxonomy code is 111N00000X and license number is 2179-012, license state is located at Wisconsin. Wcdc Llc physically located at 50606 Charles St., Osseo WI, 54758. NPI Number 1033115704 has the healthcare provider type.

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1548309529 NPI number is provided on an as is basis without warranty of any kind. 1548309529 is maintained by the National Plan & Provider Enumeration System. The contents of Wcdc Llc are for informational purposes only.