Provider Demographics
NPI:1225165558
Name:WEISFLOG, WENDY ANN (DC)
Entity Type:Individual
Prefix:MISS
First Name:WENDY
Middle Name:ANN
Last Name:WEISFLOG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8140 E CACTUS RD
Mailing Address - Street 2:SUITE 720B
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5268
Mailing Address - Country:US
Mailing Address - Phone:480-663-7829
Mailing Address - Fax:480-998-0629
Practice Address - Street 1:8140 E CACTUS RD
Practice Address - Street 2:SUITE 720B
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5268
Practice Address - Country:US
Practice Address - Phone:480-663-7829
Practice Address - Fax:480-998-0629
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7193111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor