| NPI | 1477030732 |
|---|---|
| Former Legal Business Name | WIEDNER FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J WIEDNER Proprietor 772-781-1101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7269) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-12-21 |