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Individual

DR. BRYAN SCOTT WIEBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4520 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2740
(206) 932-6605
(206) 933-6999
Mailing address
4520 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2740
(206) 932-6605
(206) 933-6999

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3113
WA

Other

Enumeration date
02/09/2007
Last updated
07/08/2007
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