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Organization

HEALTHSOURCE OF NORTH LIBERTY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY WISDO D.C. (OWNER)
(319) 373-7576
Entity
Organization

Contact information

Practice address
215 HIGHWAY 965 NE, SUITE 1, NORTH LIBERTY, IA 52317-9091
(319) 373-7576
Mailing address
215 HIGHWAY 965 NE, SUITE 1, NORTH LIBERTY, IA 52317-9091
(319) 373-7576

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06595
IA

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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