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Individual
JENNY L WIEMANN
Active
Individual
JENNY L WIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE006000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178092
HEALTHLINK
MO
01
—
3560
BLUE CROSS BLUE SHIELD
MO
01
—
431738059CRO
MERCY
MO
01
—
4319076
AETNA
MO
01
—
4407107
UHC
MO
01
—
52473
GHP
MO
01
—
612612
ACN
MO
01
—
P00115373
RAILROAD MEDICARE
MO
Enumeration date
06/25/2006
Last updated
10/11/2011
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