Individual
DR. SHANE WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C, MPE
Contact information
Practice address
44 W 1ST ST, SUITE I, WACONIA, MN 55387-1400
(952) 913-6583
Mailing address
1904 CLEARWATER RD, WACONIA, MN 55387-9510
(952) 913-6583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6255
MN
Other
Enumeration date
04/27/2014
Last updated
11/09/2016
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