Individual
ROY D WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
333 N MINDEN AVE, MINDEN, NE 68959-1657
(308) 832-1000
(308) 832-0153
Mailing address
333 N MINDEN AVE, MINDEN, NE 68959-1657
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
845
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36324681300
—
NE
Enumeration date
10/19/2006
Last updated
07/08/2007
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