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Individual

TERRY LIN WEPNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
147 N STATE STREET, BERLIN, WI 54923-1621
(920) 361-3515
(920) 361-2733
Mailing address
147 N STATE STREET, BERLIN, WI 54923-1621
(920) 361-3515
(920) 361-2733

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1857
WI
111N00000X
Chiropractor
Primary
1857012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38784100
WI
01
391831491011
BCBS
WI
Enumeration date
11/24/2006
Last updated
01/20/2017
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