Organization
BRIAN M WILDEMUTH CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN M WILDEMUTH (PRESIDENT)
(661) 299-4913
Entity
Organization
Contact information
Practice address
26850 SIERRA HWY, STE A14, SANTA CLARITA, CA 91321-2254
(661) 299-4913
Mailing address
26850 SIERRA HWY, STE A14, SANTA CLARITA, CA 91321
(661) 299-4913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-26824
CA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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