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Individual

DR. GLENN W. WECKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5215-B MARKET ST, WILMINGTON, NC 28405
(910) 392-3333
(910) 392-3368
Mailing address
5215-B MARKET ST, WILMINGTON, NC 28405
(910) 392-3333
(910) 392-3368

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
1595
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08936
BCBS
05
7908936
NC
Enumeration date
08/21/2006
Last updated
07/08/2007
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