Organization
PAUL J. WILLERT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JERALD WILLERT D.C. (OWNER)
(316) 990-0143
Entity
Organization
Contact information
Practice address
813 W DOUGLAS AVE, WICHITA, KS 67213-4704
(316) 440-4052
Mailing address
813 W DOUGLAS AVE, WICHITA, KS 67213-4704
(316) 440-4052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4601
KS
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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