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Individual

DR. BENJAMIN CLINTON WYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1967 51ST ST NE, CEDAR RAPIDS, IA 52402-2460
(319) 573-7928
Mailing address
1967 51ST ST NE, CEDAR RAPIDS, IA 52402-2460

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
095854
IA

Other

Enumeration date
02/16/2016
Last updated
11/21/2019
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