Organization
WANNER CHIROPRACTIC
Active
Other names
Wanner Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENT E WANNER D.C. (DOCTOR OF CHIROPRACTIC)
(707) 465-4132
Entity
Organization
Contact information
Practice address
1000 NORTHCREST DR STE 3, CRESCENT CITY, CA 95531-2317
(707) 465-4132
(707) 465-4132
Mailing address
1000 NORTHCREST DR STE 3, CRESCENT CITY, CA 95531-2317
(707) 465-4132
(707) 465-4132
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DC0200250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093892697
—
CA
Enumeration date
12/15/2014
Last updated
12/15/2014
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