Organization
HARBOUR MEDICAL CENTERS
Active
Parent organization
WIEDNER FAMILY CHIROPRACTIC PLLC
Other names
Wiedner Family Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WIEDNER FAMILY CHIROPRACTIC PLLC
Authorized official
WILLIAM J WIEDNER DC (PROPRIETOR)
(772) 781-1101
Entity
Organization
Contact information
Practice address
1411 SE OCEAN BLVD, STUART, FL 34996-2651
(772) 781-1101
(772) 781-1141
Mailing address
1411 SE OCEAN BLVD, STUART, FL 34996-2651
(772) 781-1101
(772) 781-1141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7269
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790716058
NPI
FL
01
—
350041521
RAILROAD MEDICARE PTAN
FL
01
—
55523
MEDICARE PTAN
FL
Enumeration date
07/19/2018
Last updated
12/21/2022
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