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Individual

DR. WAYNE ROBERT HUBER JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C, C.C.S.P

Contact information

Practice address
725 E FIGZEL CT, #104, TEA, SD 57064-2276
(605) 498-5100
(605) 498-5101
Mailing address
725 E FIGZEL CT, #104, TEA, SD 57064-2276
(605) 498-5100
(605) 498-5101

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
SD935
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7604660
SD
Enumeration date
02/21/2006
Last updated
07/08/2007
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