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Individual
DR. PHILIP EDWARD WULFERT
Active
Individual
DR. PHILIP EDWARD WULFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE 005627
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118699
BLUE CROSS BLUE SHIELD
MO
01
—
133965
HEALTHLINK
MO
Enumeration date
10/05/2005
Last updated
07/08/2007
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