Individual
TED LAWRENCE WERNIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1204 MANTEO CT, RALEIGH, NC 27615-4426
(919) 302-1297
Mailing address
1204 MANTEO CT., RALEIGH, NC 27615-4426
(919) 302-1297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1965
NC
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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