Individual provider · Type 1 NPI

Matthew John Wise, DC

Chiropractor · St. Charles, MO

NPI number 1477600641 Active

Practice location

190 Spring Dr
St. Charles, MO 63303-3255

Fax (314) 205-1508

Mailing address

14324 S Outer 40
Chesterfield, MO 63017-5710

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2004017456 (MO)

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 1477600641

Matthew John Wise, DC's National Provider Identifier is 1477600641, issued on Jan 3, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Charles, MO. The record was last updated on Jul 8, 2007.