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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WALTER RUDOLPH WIESZTORT, D.C.

Deactivated

DR. WALTER RUDOLPH WIESZTORT, D.C. is a Chiropractor healthcare provider located in KENOSHA, Wisconsin. NPI 1003814336 is deactivated in the NPPES registry. Verify at CMS.

Chiropractor · KENOSHA, WI

This NPI has been deactivated. The record was deactivated on March 16, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1003814336
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2005 (0.67945205479452 yrs)
Last Updated
Apr 22, 2008
Deactivated
Mar 16, 2006
License
3514-012 (WI)

Practice Information

Address
4014 77TH ST
STE. 2
KENOSHA, WI, 531424314
Browse WI providers · Browse ZIP 53142
Phone
2626943530
Fax
2629258810
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in KENOSHA, WI

Name Credential NPI
DR. JOHN C MURPHY D.C. 1891793394
DR. RANDALL J HAMMETT DC 1861485690
DR. TROY DONALD LUDWIG DC 1275589046
DR. KRISTOPHER WYLLIS PETERSON DC 1003862871
DR. DANIEL CHARLES ESPOSITO DC 1033129275
DR. AMY L FOERSTER DC 1003921073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.