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Individual

DR. RYAN WOHLFERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6724 CONESTOGA DR, LANSING, MI 48917-8851
(517) 643-1027
Mailing address
6724 CONESTOGA DR, LANSING, MI 48917-8851
(517) 643-1027

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009283
MI
111N00000X
Chiropractor
2833
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0847T
BCBS
NC
01
562205565
TAX ID
NC
Enumeration date
09/02/2006
Last updated
12/03/2024
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