Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Walter Rudolph Wiesztort, DC

Individual provider Chiropractor · NPI 1003814336

Dr. Walter Rudolph Wiesztort, DC is a Chiropractic in Kenosha, Wisconsin. Graduated from Palmer College Chiropractic - Davenport in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Trained at
Palmer College Chiropractic - Davenport
Licensed in
WI
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4014 77th St Ste 2
Kenosha, WI 53142-4314
Phone: (262) 694-3530
Fax: (262) 925-8810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3514-012 (WI)

Record details

NPI number1003814336
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESApril 22, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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