| Barry Wiese, DC | |
|
5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | |
| (314) 367-5820 | |
| (314) 367-7010 |
| Full Name | Barry Wiese |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 5471 Dr Martin Luther King Dr, Saint Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407814627 | NPI | - | NPPES |
| 2014005327 | Other | MO | MO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2014005327 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Wiese, DC 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 Ph: (314) 367-5820 | Barry Wiese, DC 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 Ph: (314) 367-5820 |
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