# EXECUTIVE EDGE INTERNATIONAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Five Element Acupuncture of Michigan, Five Element Acupuncture of Michigan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174041909
- **Authorized official:** DR. GIGI BADILA CRISTACHE DAOM, RAC., MAC. (PRESIDENT)
- **Authorized official phone:** (248) 790-4061

## Contact information

- **Practice address:** 32905 W 12 MILE RD, FARMINGTON HILLS, MI 48334-3342
- **Practice address phone:** (248) 790-4061
- **Mailing address:** 30426 KNIGHTON DR, FARMINGTON HILLS, MI 48331-1657
- **Mailing address phone:** (248) 790-4061

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2017
- **Last updated:** 06/16/2018