Healthsource of Coralville, PC

NPI #1376811471 in Coralville, Iowa

Provider Information

NPI Number: 1376811471
Entity Type: Organization
Organization Name: Healthsource of Coralville, PC
Primary Specialty: Chiropractor
Enumeration Date: Dec 5, 2011
Last Updated: Dec 5, 2011

Practice Location

Address: 18010 2ND STREET
Address 2: SUITE 170
City: Coralville
State: Iowa
ZIP Code: 52241
Phone: (319) 373-7576

Authorized Official

Name: DR. JEFFREY WISDO, D.C.
Title: OWNER
Phone: (319) 373-7576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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