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General NPI Number Information
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NPI Number | 1710895743
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Entity Type | Organization
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Legal Business Name | WELLSPRING CHIROPRACTIC CLINIC PLLC
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 2709 W BRIGGS AVE STE 4
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City | FAIRFIELD
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State | IA
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Zip | 52556-2649
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Country | US
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Telephone | 641-469-3138
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Fax |
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Provider Business Mailing Address
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Address Line | 2709 W BRIGGS AVE STE 4
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City | FAIRFIELD
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State | IA
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Zip | 52556-2649
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Country | US
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Telephone | 641-469-3138
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Fax |
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Authorized Official
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Title or Position | OWNER, DOCTOR
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Name | DR. MAXWELL ANDERSON
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Credential | DC
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Telephone | 319-217-3044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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