Individual
SHANE ANTHONY WERNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3717 S GRANGE AVE, SIOUX FALLS, SD 57105-6329
(605) 782-9871
Mailing address
3717 S GRANGE AVE, SIOUX FALLS, SD 57105-6329
(605) 782-9871
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1363
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1363
STATE LICENSE NUMBER
SD
Enumeration date
01/06/2020
Last updated
01/21/2020
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