Organization
WEIDE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ANSON WEIDE D.C. (OWNER)
(414) 768-9000
Entity
Organization
Contact information
Practice address
7280 S 13TH ST, SUITE 201, OAK CREEK, WI 53154-1831
(414) 768-9000
(414) 768-9004
Mailing address
7280 S 13TH ST, SUITE 201, OAK CREEK, WI 53154-1831
(414) 768-9000
(414) 768-9004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1599-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38780400
—
WI
Enumeration date
03/12/2007
Last updated
08/22/2020
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