Individual
DR. THOMAS E WYANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
421 MAIN ST, MAPLETON, IA 51034-1212
(712) 882-1977
(712) 882-1977
Mailing address
PO BOX 181, MAPLETON, IA 51034-0181
(712) 882-1977
(712) 882-1977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05786
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110205
—
IA
Enumeration date
02/08/2006
Last updated
02/03/2013
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