Individual
MS. AIMEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, L.AC.
Contact information
Practice address
N56W39325 WISCONSIN AVE UNIT C, OCONOMOWOC, WI 53066-2192
(414) 416-3278
Mailing address
N56W39325 WISCONSIN AVE UNIT C, OCONOMOWOC, WI 53066-2192
(414) 416-3278
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
WI 342-055
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063699130
I DONT KNOW
WI
Enumeration date
01/30/2008
Last updated
01/23/2020
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