Individual
DR. STANLEY JOHN WAISLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5995 OREN AVE N, 108 STE, OAK PARK HEIGHTS, MN 55082-6377
(651) 439-8064
Mailing address
5995 OREN AVE N, 108 STE, OAK PARK HEIGHTS, MN 55082-6377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1516
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56704WA
BLUECROSS
MN
Enumeration date
06/10/2006
Last updated
07/08/2007
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