Individual
DR. JESSE LEE WENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
526 E LAKEVIEW RD, STILLWATER, OK 74075-2825
(405) 707-3050
Mailing address
134 E 15TH ST, EDMOND, OK 73013-4303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4006
OK
Other
Enumeration date
11/03/2010
Last updated
04/23/2019
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