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Individual

DANIEL L WYMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
11023 GATEWOOD DR STE 101, BRADENTON, FL 34211-4945
(941) 744-1585
(941) 744-1572
Mailing address
11023 GATEWOOD DR STE 101, BRADENTON, FL 34211-4945
(941) 744-1585
(941) 744-1572

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104000614
VA
111N00000X
Chiropractor
Primary
CH1981
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55321
PTAN
FL
Enumeration date
05/24/2005
Last updated
12/10/2019
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