Individual
DR. STEVEN RICHARD WISETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
205 BROOKS AVE N, THIEF RIVER FALLS, MN 56701-1724
(218) 689-2885
Mailing address
205 BROOKS AVE N, THIEF RIVER FALLS, MN 56701-1724
(218) 689-2885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5506
MN
Other
Enumeration date
05/09/2011
Last updated
10/07/2014
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