Dr. Shane Wetzel, D.C, MPE
Chiropractor in Waconia, MN. Individual provider (NPI-1).
NPI number1124448337
StatusActive
Last updated in NPPESNov 9, 2016
Details
- NPI
- 1124448337
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane Wetzel
- Credential
- D.C, MPE
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2014
- Last updated
- Nov 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 6255 | MN | Yes |
Practice location
44 W 1st StSuite I
Waconia, MN 55387-1400
Phone 952-913-6583
Mailing address
1904 Clearwater RdWaconia, MN 55387-9510
Phone 952-913-6583
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