Individual
DR. NICHOLAS WUTHNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3980 W WEDINGTON DR STE 14, FAYETTEVILLE, AR 72704-5791
(479) 435-6834
Mailing address
4101 W HUNTINGTON DR APT 2302, ROGERS, AR 72758-4191
(785) 201-2781
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16320
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982245387
AELL SPENCER CHIROPRACTIC INC.
AR
Enumeration date
02/25/2022
Last updated
02/25/2022
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