Individual
ALLIE ROSE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
409 MERAMEC BLVD, EUREKA, MO 63025-3906
(636) 429-2024
Mailing address
409 MERAMEC BLVD, EUREKA, MO 63025-3906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2025040258
MO
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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