Individual
BRENT TYSON WINEGEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1332 W ARCH HAVEN AVE, SUITE C, BLOOMINGTON, IN 47403-2079
(812) 333-7447
(812) 333-7442
Mailing address
1332 W ARCH HAVEN AVE, SUITE C, BLOOMINGTON, IN 47403-2079
(812) 333-7447
(812) 333-7442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002716A
IN
Other
Enumeration date
06/06/2013
Last updated
06/10/2013
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