Individual
DR. TY WALLACE WINIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
721 N MAIN ST, EVANSVILLE, IN 47711-5423
(812) 424-8514
Mailing address
721 N MAIN ST, EVANSVILLE, IN 47711-5423
(812) 424-8514
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002012A
IN
Other
Enumeration date
01/08/2007
Last updated
12/12/2011
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