Individual
DR. TIMOTHY L WULFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1036 E KARSCH BLVD, FARMINGTON, MO 63640-3403
(573) 756-9292
(573) 756-9292
Mailing address
PO BOX 242, FARMINGTON, MO 63640-0242
(573) 756-9292
(573) 756-9292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE 005766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253775
HEALTHLINK HMO PPO
MO
01
—
2890
BCBS
MO
Enumeration date
10/06/2005
Last updated
07/09/2007
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