Individual
MICHAEL JOHN WENSTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
745 S VAL VISTA DR STE 105, GILBERT, AZ 85296-3131
(480) 497-2900
Mailing address
3301 E ANGELA DR, PHOENIX, AZ 85032-2097
(480) 747-7486
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8904
AZ
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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