Organization
BIRCH HAVEN COMMUNITY ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADA LYN ROBERTSON HOGAN L.AC (ACUPUNCTURIST)
(952) 898-1808
Entity
Organization
Contact information
Practice address
14041 BURNHAVEN DR, SUITE 120, BURNSVILLE, MN 55337-4921
(952) 898-1808
Mailing address
14041 BURNHAVEN DR, SUITE 120, BURNSVILLE, MN 55337-4921
(952) 898-1808
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1654
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164769725
NPI
MN
Enumeration date
02/25/2014
Last updated
02/25/2014
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