DR. Timothy L Wenneborg, DC

NPI #1821089780 in Springfield, Illinois

Provider Information

NPI Number: 1821089780
Entity Type: Individual
Name: DR. Timothy L Wenneborg, DC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 31, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1045 S 2ND ST
City: Springfield
State: Illinois
ZIP Code: 62704-3004
Phone: (207) 544-5213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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