Individual provider · Type 1 NPI

Walter Rudolph Wiesztort, DC

Chiropractor · Kenosha, WI

NPI number 1003814336 Active · reactivated Mar 24, 2006

Practice location

4014 77th St, Ste. 2
Kenosha, WI 53142-4314

Call (262) 694-3530 Map

Fax (262) 925-8810

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3514-012 (WI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2 other providers at this address

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About NPI 1003814336

Walter Rudolph Wiesztort, DC's National Provider Identifier is 1003814336, issued on Jul 11, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kenosha, WI. The record was last updated on Apr 22, 2008.