Individual
DR. TIMOTHY ANDREW WANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1025 E 11400 S, SUITE 104, SANDY, UT 84094-6942
(801) 523-3898
(801) 523-3394
Mailing address
1025 E 11400 S, SUITE 104, SANDY, UT 84094-6942
(801) 523-3898
(801) 523-3394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5636714-1202
UT
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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