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Contact Information

DAVID C WIENCKE, D.C.
550 40TH AVE NE
COLUMBIA HEIGHTS, MN55421-3835
 Phone: 763-788-9797
 Fax: 763-788-9541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DAVID C WIENCKE · (Male)

NPI Number 1013091230
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 10/24/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1729
  • MN Other 59153WI BLUE CROSS BLUE SHEILD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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