Individual
MRS. CHRISTINE WAEHNER-LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
5770 W BALD EAGLE BLVD, WHITE BEAR LAKE, MN 55110-6440
(651) 429-9595
(651) 429-9595
Mailing address
5240 COLUMBUS AVE, MINNEAPOLIS, MN 55417-1714
(612) 825-6387
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1075
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP22866
HP ID NUMBER
MN
Enumeration date
11/29/2006
Last updated
07/08/2007
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