JUSTIN WIETHOP

SAINT LOUIS, MO
NPI1538383070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: MO  2007001660)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
-- JUSTIN WIETHOP D.C.
12032 TESSON FERRY RD
SAINT LOUIS, MO 63128-1727
Phone number: 314-849-1331
Mailing Address
-- JUSTIN WIETHOP D.C.
1250 PINE TRL
FENTON, MO 63026-4216
Phone number: 314-471-8303
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