# METRO DETROIT ACUPUNCTURE, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Metro Detroit Acupuncture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922773852
- **Authorized official:** MARINOS MOUTAFIS LAC. (ACUPUNCTURIST)
- **Authorized official phone:** (248) 432-2846

## Contact information

- **Practice address:** 7115 ORCHARD LAKE RD STE 410, WEST BLOOMFIELD, MI 48322-3655
- **Practice address phone:** (248) 432-2846
- **Practice address fax:** (248) 757-2172
- **Mailing address:** 7115 ORCHARD LAKE RD STE 410, WEST BLOOMFIELD, MI 48322-3655
- **Mailing address phone:** (248) 432-2846
- **Mailing address fax:** (248) 757-2172

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 08/12/2021