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Individual

WESLEY VINTON KROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1 E MAIN ST, FROSTBURG, MD 21532-1331
(301) 689-1200
(301) 689-1200
Mailing address
1 E MAIN ST, FROSTBURG, MD 21532-1331
(301) 689-1200
(301) 689-1200

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
684
WV
111N00000X
Chiropractor
Primary
S01885
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
370937
MAMSI
MD
01
M589WV
BCBS OF MARYLAND, INC.
MD
Enumeration date
03/26/2007
Last updated
07/08/2007
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