Individual provider · Type 1 NPI

Joshua Daniel Wideman, DC

Chiropractor · Granite City, IL

NPI number 1578078838 Active

Practice location

3986 Maryville Rd
Granite City, IL 62040-4191

Call (618) 797-0618 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X2017014934 (MO)
Chiropractor Primary 111N00000X038.013405 (IL)

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 1578078838

Joshua Daniel Wideman, DC's National Provider Identifier is 1578078838, issued on Dec 8, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Granite City, IL. The record was last updated on Feb 4, 2020.