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1386876944
JEFFREY EDWARD WIEDERHOLD
PORTAGE, MI
NPI
1386876944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MI 2301009586)
Enumeration Date
2009-08-17
Last Update Date
2010-07-01
Business Address
Dr. JEFFREY EDWARD WIEDERHOLD D.C.
7117 S WESTNEDGE AVE SUITE #3
PORTAGE, MI 49002-4201
Phone number: 269-327-4813
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Mailing Address
Dr. JEFFREY EDWARD WIEDERHOLD D.C.
7117 S WESTNEDGE AVE SUITE #3
PORTAGE, MI 49002-4201
Phone number: 269-327-4813
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