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NPI Code Detail

MEDICARE: DR. TED A WEDELL D.C.

MEDICARE: DR. TED A WEDELL D.C.
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
1111N00000XChiropractor3447WA

General Provider Information

NPI Number : 1144228545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TED A WEDELL D.C.
Provider Business Mailing Address
First Line : 6515 132ND AVE NE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8628
Country : US
Telephone Number : 425-822-4326
Fax Number : 425-827-3572
Provider Business Practice Location Address
First Line : 6515 132ND AVE NE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8628
Country : US
Telephone Number : 425-822-4326
Fax Number : 425-827-3572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2005
Last Update Date : 03/13/2020

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Directions to “ DR. TED A WEDELL D.C.” Practice Location

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