Organization
WYOMING CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE L BAUER DC (SOLE MEMBER)
(563) 659-1667
Entity
Organization
Contact information
Practice address
112 E WEBSTER ST, WYOMING, IA 52362-7775
(563) 659-5582
Mailing address
306 11TH ST, DE WITT, IA 52742-1404
(563) 659-1667
(563) 221-9218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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