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NPI Code Detail

MEDICARE: BRIAN G WOLSTEIN DC

MEDICARE: BRIAN G WOLSTEIN DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH6425FL

General Provider Information

NPI Number : 1043250376
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN G WOLSTEIN DC
Provider Business Mailing Address
First Line : 24945 US HIGHWAY 19 N
Second Line :
City : CLEARWATER
State : FL
Zip : 33763-3927
Country : US
Telephone Number : 727-726-1460
Fax Number : 727-724-9705
Provider Business Practice Location Address
First Line : 24945 US HIGHWAY 19 N
Second Line :
City : CLEARWATER
State : FL
Zip : 33763-3927
Country : US
Telephone Number : 727-726-1460
Fax Number : 727-724-9705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 02/02/2023

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Directions to “ BRIAN G WOLSTEIN DC” Practice Location

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