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Individual

DANIEL BRIAN WEISBECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
94-1030 WAIPIO UKA ST, SUITE 104, WAIPAHU, HI 96797-4084
(808) 671-7887
(808) 671-7887
Mailing address
94-1030 WAIPIO UKA ST, SUITE 104, WAIPAHU, HI 96797-4084
(808) 671-7887
(808) 671-7887

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
799
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
216655
HMSA
HI
Enumeration date
09/28/2006
Last updated
08/09/2012
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