Individual
DANIEL WILBUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 S 42ND ST, PHILADELPHIA, PA 19104-4401
(508) 237-1900
Mailing address
503 S 42ND ST, PHILADELPHIA, PA 19104-4401
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OM000216
PA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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