Organization
NIERMAN CHIROPRACTIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON LEE NIERMAN D.C. (OWNER/MANAGER)
(904) 527-9601
Entity
Organization
Contact information
Practice address
1921 HUGHES DR, FORT WAYNE, IN 46816-3102
(904) 527-9601
Mailing address
1921 HUGHES DR, FORT WAYNE, IN 46816-3102
(904) 527-9601
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
08002640A
IN
Other
Enumeration date
09/15/2010
Last updated
04/05/2012
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