Individual
CHRISTOPHER RYAN WEILANDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2190 S MASON RD STE 302, DES PERES, MO 63131-1637
(636) 629-2414
Mailing address
2718 RED CEDAR PARC DR S, O FALLON, MO 63368-6607
(636) 487-6207
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2020031483
MO
2255A2300X
Athletic Trainer
2015038419
MO
Other
Enumeration date
05/04/2016
Last updated
10/08/2020
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