# FWC ACU LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902438047
- **Authorized official:** DR. KENTON WADSWORTH (MEMBER)
- **Authorized official phone:** (989) 496-7472

## Contact information

- **Practice address:** 2621 W WACKERLY ST STE E, MIDLAND, MI 48640-6994
- **Practice address phone:** (989) 496-7472
- **Practice address fax:** (989) 633-9130
- **Mailing address:** 2621 W WACKERLY ST STE E, MIDLAND, MI 48640-6994
- **Mailing address phone:** (989) 496-7472

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2020
- **Last updated:** 06/08/2022