Individual
DR. NATHAN EVAN WIEDRICH
Active
Individual
DR. NATHAN EVAN WIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3342
SC
111N00000X
Chiropractor
3801096
IL
111NR0400X
Rehabilitation Chiropractor
Primary
038.010896
IL
Other
Enumeration date
03/30/2007
Last updated
03/17/2018
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