Individual
DR. PHILIP EDWARD WULFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
207 S MAIN ST, FREDERICKTOWN, MO 63645-1419
(573) 783-5530
Mailing address
207 S MAIN ST, FREDERICKTOWN, MO 63645-1419
(573) 783-5530
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE 005627
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118699
BLUE CROSS BLUE SHIELD
MO
01
—
133965
HEALTHLINK
MO
Enumeration date
10/05/2005
Last updated
07/08/2007
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