Individual
DR. RONALD A WEDEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
118 CAMINO DE LA PLACITA STE C, TAOS, NM 87571-6079
(575) 741-1888
Mailing address
PO BOX 469, TAOS, NM 87571-0469
(575) 741-1888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC21162
CA
111N00000X
Chiropractor
Primary
DC2203
NM
Other
Enumeration date
07/12/2006
Last updated
08/24/2019
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