Organization
LAS PLANICIAS DE SAN ISIDRO
Active
Other names
Wiese Chiropractic/discount chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER SCOTT WIESE DC (PRESIDENT)
(541) 972-1222
Entity
Organization
Contact information
Practice address
450 SISKIYOU BLVD, SUITE 1, ASHLAND, OR 97520-5107
(541) 973-1222
Mailing address
450 SISKIYOU BLVD., SUITE 1, ASHLAND, OR 97520
(541) 973-1222
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3778
OR
Other
Enumeration date
12/06/2007
Last updated
03/31/2009
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