Shane K Wisehart, DC
NPI #1649385980 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1649385980
- Entity Type
- Individual
- Name
- Shane K Wisehart, DC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- Aug 19, 2006
- Last Updated
- Feb 8, 2017
Practice Location
- Address
- 35 BONNIE VIEW DR
- Address 2
- STE 3
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87547-3737
- Phone
- (505) 672-9774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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