Weller Chiropractic Clinic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301002986

Legal business name

WELLER CHIROPRACTIC CLINIC P.C.

Practice address

49100 Pontiac TRL
Wixom, MI 48393-2569

Phone

(248) 669-1108

Fax

(248) 669-2552

NPI assigned

Jun 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Christopher Weller, D.C.

Title

Owner

Phone

(248) 669-1108

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164624193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49100 PONTIAC TRL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932569",
            "telephone_number": "248-669-1108",
            "fax_number": "248-669-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49100 PONTIAC TRL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932569",
            "telephone_number": "248-669-1108",
            "fax_number": "248-669-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLER CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-669-1108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "2301002986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Christopher Weller, D.C.
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• Chiropractor in Wixom, MI
• Providers in Wixom, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.