Individual
RYAN WICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9664 63RD AVE N, MAPLE GROVE, MN 55369-6200
(763) 504-0395
(612) 295-0022
Mailing address
9664 63RD AVE N, MAPLE GROVE, MN 55369-6200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6134
MN
Other
Enumeration date
11/13/2015
Last updated
12/10/2018
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