# AGAPE ACUPUNCTURE

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

## Provider details

- **NPI number:** 1922656271
- **Authorized official:** SE-MIN JOHN PARK LAC (ACUPUNCTURIST/CO-OWNER)
- **Authorized official phone:** (248) 238-8390

## Contact information

- **Practice address:** 16801 NEWBURGH RD STE 111, LIVONIA, MI 48154-1606
- **Practice address phone:** (248) 238-8390
- **Practice address fax:** (248) 419-1839
- **Mailing address:** 16801 NEWBURGH RD STE 111, LIVONIA, MI 48154-1606
- **Mailing address phone:** (248) 238-8390
- **Mailing address fax:** (248) 419-1839

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2019
- **Last updated:** 08/29/2019