Individual
CAROLYN M MICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CA
Contact information
Practice address
715 HILL ST STE 270, MADISON, WI 53705-3572
(608) 445-6578
Mailing address
715 HILL ST STE 270, MADISON, WI 53705-3572
(608) 445-6578
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
876-55
WI
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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