Individual
RORY TROUB WIEDERSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
210 MARY BAILEY, CHICKASHA, OK 73018-1832
(405) 224-2100
(405) 779-2166
Mailing address
2100 W IOWA AVE, CHICKASHA, OK 73018-2736
(405) 224-2100
(405) 779-2310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4425
OK
Other
Enumeration date
06/10/2021
Last updated
04/03/2026
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