Individual
MS. MICHELLE D STOBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
94 COLUMBUS RD BLDG A, ATHENS, OH 45701-1312
(740) 350-5654
Mailing address
95 2ND ST, ATHENS, OH 45701-1534
(740) 350-5654
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65.000406
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65.000406
OHIO STATE MEDICAL BOARD
OH
Enumeration date
05/02/2022
Last updated
05/02/2022
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