Organization
WISEMAN CHIROPRACTIC WELLNESS CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN R WISEMAN (DR OF CHIROPRACTIC)
(308) 532-3536
Entity
Organization
Contact information
Practice address
1863 W A ST, NORTH PLATTE, NE 69101-4534
(308) 532-3536
Mailing address
1863 W A ST, NORTH PLATTE, NE 69101-4534
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1261
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09664
BLUECROSSBLUESHIELD
NE
05
—
10025380000
—
NE
Enumeration date
01/22/2008
Last updated
01/22/2008
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