Individual
COREY EUGENE BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E CHISHOLM ST, SUITE C, ALPENA, MI 49707-5800
(989) 916-7243
Mailing address
637 W WASHINGTON AVE, ALPENA, MI 49707-2775
(989) 916-7243
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
NCCAOM113675
—
Other
Enumeration date
01/18/2010
Last updated
02/02/2015
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