WIESZTORT FAMILY CHIROPRACTIC CLINIC S.C. NPI 1033281167

NPI Information

WIESZTORT FAMILY CHIROPRACTIC CLINIC, S.C. is a chiropractor in Kenosha, WI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WIESZTORT FAMILY CHIROPRACTIC CLINIC, S.C. NPI is 1033281167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4014 77TH ST STE 2
KENOSHA, WI
ZIP 53142-314
Phone: (262) 694-3530
Fax: (262) 925-8810

The provider's authorized official is Walter Rudolph Wiesztort .
The authorized official title is President and has the following contact phone number (262) 694-3530.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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