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

DR. JOSHUA DANIEL WIDEMAN, DC

Active

DR. JOSHUA DANIEL WIDEMAN, DC is a Chiropractor healthcare provider located in GRANITE CITY, Illinois. NPI 1578078838 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · GRANITE CITY, IL

Registration Details

NPI Number
1578078838
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2017 (8.6663169314928 yrs)
Last Updated
Feb 4, 2020
Licenses
2017014934 (MO)
038.013405 (IL)

Practice Information

Address
3986 MARYVILLE RD
GRANITE CITY, IL, 620404191
Browse IL providers · Browse ZIP 62040
Phone
6187970618
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Chiropractor

Other Chiropractor Providers in GRANITE CITY, IL

Name Credential NPI
DR. JASON R TALLEY DC 1144224734
DR. BRIAN M FORBES D.C. 1457357147
DR. MARK EAVENSON DC 1629037536
MR. DANIEL JASON MILLER 1104832294
LAWRENCE ALLEN SHIPLEY II D.C. 1184737074
DR. BRIDGET ELLEN BRASFIELD DC DR OF CHIRO MED 1205948577
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.