Individual provider · Type 1 NPI
Shane Wetzel, D.C, MPE
Chiropractor · Waconia, MN
NPI number
1124448337
Active
Practice location
44 W 1st St, Suite I
Waconia, MN 55387-1400
Mailing address
1904 Clearwater Rd
Waconia, MN 55387-9510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6255 (MN) |
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.
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About NPI 1124448337
Shane Wetzel, D.C, MPE's National Provider Identifier is 1124448337, issued on Apr 27, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Waconia, MN. The record was last updated on Nov 9, 2016.