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Organization

WIETHOP CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN WIETHOP D.C. (OWNER/MANAGER)
(314) 849-1331
Entity
Organization

Contact information

Practice address
12032 TESSON FERRY RD, SUITE 100, SAINT LOUIS, MO 63128-1774
(314) 849-1331
(314) 842-9899
Mailing address
12032 TESSON FERRY RD, SUITE 100, SAINT LOUIS, MO 63128-1774
(314) 849-1331
(314) 842-9899

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007001660
MO

Other

Enumeration date
07/11/2007
Last updated
07/11/2007
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