# DR.PAN ACUPUNCTURE&MASSGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DR.PAN ACUPUNCTURE&MASSGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114793163
- **Authorized official:** GUODONG PAN (OWNER)
- **Authorized official phone:** (248) 989-9156

## Contact information

- **Practice address:** 27113 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1917
- **Practice address phone:** (248) 989-9156
- **Mailing address:** 27113 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1917
- **Mailing address phone:** (248) 989-9156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2023
- **Last updated:** 11/30/2023