Organization
DR. JESSE WENNINGER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE LEE WENNINGER D.C. (OWNER)
(405) 330-8745
Entity
Organization
Contact information
Practice address
134 E 15TH ST, EDMOND, OK 73013-4303
(405) 330-8745
Mailing address
134 E 15TH ST, EDMOND, OK 73013-4303
(405) 330-8745
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4006
OK
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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