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Individual

DR. WAYNE R MEYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
400 PLYMOUTH ST. SW, LEMARS, IA 51031
(712) 546-5121
(712) 546-5023
Mailing address
400 PLYMOUTH ST SW, LE MARS, IA 51031-3443
(712) 546-5121
(712) 546-5023

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04712
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0197731
IA
01
19773
WELLMARK BCBS
IA
Enumeration date
05/01/2006
Last updated
05/15/2008
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