Dr. Jesse Wenninger Pllc

NPI #1417360173 in Edmond, Oklahoma

Provider Information

NPI Number: 1417360173
Entity Type: Organization
Organization Name: Dr. Jesse Wenninger Pllc
Primary Specialty: Chiropractor
Enumeration Date: Jun 10, 2014
Last Updated: Jun 10, 2014

Practice Location

Address: 134 E 15TH ST
City: Edmond
State: Oklahoma
ZIP Code: 73013-4303
Phone: (405) 330-8745

Authorized Official

Name: JESSE LEE WENNINGER, D.C.
Title: OWNER
Phone: (405) 330-8745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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