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Individual

DR. EDWARD JAMES WELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
15507 MANCHESTER RD, BALLWIN, MO 63011-3001
(636) 527-3015
Mailing address
15507 MANCHESTER RD, BALLWIN, MO 63011-3001
(636) 527-3015
(636) 527-3415

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007022344
MO
111N00000X
Chiropractor
38009071
IL

Other

Enumeration date
03/19/2007
Last updated
06/05/2009
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