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Shawn D Wanderaas, DC
Chiropractor in Southaven, Mississippi
NPI 1669790523

Shawn D Wanderaas is a Chiropractor based in Southaven, MS. Shawn D Wanderaas practices in Southaven, MS and has the professional credentials of DC. The NPI Number for Shawn D Wanderaas is 1669790523 and holds a License No. 1201 (Mississippi).

The current practice location address for Shawn D Wanderaas is 1134 Church Road, Southaven, MS and can be reached out via phone at 662-393-4848. You can also correspond with Shawn D Wanderaas through the mailing address at 1134 CHURCH ROAD W, SOUTHAVEN, MS - 38671 (mailing address contact number: 662-393-4848).

Location: 1134 Church Road, Southaven, MS, 38671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669790523
Provider Name
Shawn D Wanderaas
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1134 Church Road, Southaven, MS, 38671
Phone Number
662-393-4848
Fax Number
Provider Enumeration Date
05/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1134 Church Road
City
Southaven
State
Mississippi
Zip
38671
Phone Number
662-393-4848
Fax Number
person
Provider Business Mailing Address Details
Address
1134 Church Road W
City
Southaven
State
Mississippi
Zip
38671
Phone Number
662-393-4848
Fax Number
662-393-4858
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1201 (Mississippi)
Definition
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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