Individual
DR. DAVID CHRISTIAN WIENCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
550 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421-3835
(763) 788-9797
(763) 788-9541
Mailing address
550 40TH AVE. NE, COLUMBIA HEIGHTS, MN 55421
(763) 788-9797
(763) 788-9541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1729
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59153WI
BLUE CROSS BLUE SHEILD
MN
Enumeration date
10/24/2006
Last updated
07/08/2007
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