Organization
CHIROPRACTIT RELIEF & WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L. WIEDEMANN D. C. (PRESIDENT)
(406) 752-2225
Entity
Organization
Contact information
Practice address
1325 HWY 2 WEST STE A, KALISPELL, MT 59901
(406) 752-2225
(406) 752-2332
Mailing address
1325 HWY 2 WEST STE A, KALISPELL, MT 59901
(406) 752-2225
(406) 752-2332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
337CHI
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40861
BC/BS
MT
Enumeration date
11/21/2006
Last updated
07/18/2008
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