Individual
BRADLEY DAVID WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8912 BLAKENEY PROFESSIONAL DR, SUITE 100, CHARLOTTE, NC 28277-6660
(704) 544-5353
Mailing address
3533 ARBORHILL RD, CHARLOTTE, NC 28270-2273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4079
NC
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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