Individual
DR. JASON WIBBENMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
49 N GORE AVE, WEBSTER GROVES, MO 63119-2357
(314) 219-1888
Mailing address
49 N GORE AVE, WEBSTER GROVES, MO 63119-2357
(314) 219-1888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011000732
MO
Other
Enumeration date
01/20/2011
Last updated
06/02/2014
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