Individual
MR. TIMOTHY R WILBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
455 S RIDGE RD, WICHITA, KS 67209-2231
(316) 722-2222
(316) 729-4416
Mailing address
455 S RIDGE RD, WICHITA, KS 67209-2231
(316) 722-2222
(316) 729-4416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03643
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209980A
—
KS
Enumeration date
06/05/2006
Last updated
11/05/2013
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