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NPI Code Detail

MEDICARE: DR. DEVYN LEE WIPPERFURTH DC

MEDICARE: DR. DEVYN LEE WIPPERFURTH 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
1111N00000XChiropractor08003276AIN

General Provider Information

NPI Number : 1245983162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEVYN LEE WIPPERFURTH DC
Provider Business Mailing Address
First Line : 8785 KEYSTONE XING APT 1276
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-2594
Country : US
Telephone Number : 407-406-1162
Fax Number :
Provider Business Practice Location Address
First Line : 6620 PARKDALE PL STE J
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-4697
Country : US
Telephone Number : 317-991-5505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2022
Last Update Date : 01/31/2022

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