Individual
DR. MIKAEL LAURSEN BRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, ND
Contact information
Practice address
710 MEETINGHOUSE RD, ELKINS PARK, PA 19027
(215) 919-1166
Mailing address
710 MEETINGHOUSE RD, ELKINS PARK, PA 19027-1417
(215) 919-1166
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001281
PA
175F00000X
Naturopath
099.0134073
VT
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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