Individual
DR. WALTER SCOTT WIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
140 S ROYAL AVE, EAGLE POINT, OR 97524-8620
(541) 234-6440
Mailing address
140 S ROYAL AVE, EAGLE POINT, OR 97524-8620
(541) 234-6440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3778
OR
Other
Enumeration date
04/24/2007
Last updated
07/27/2015
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