Individual
MICHAEL WIADRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
424 S RIDGE ST, STE 3, BRECKENRIDGE, CO 80424
(610) 389-8422
Mailing address
862 SHEKEL LN, BRECKENRIDGE, CO 80424-8958
(610) 389-8422
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2579
CO
171100000X
Acupuncturist
U02108
MD
Other
Enumeration date
05/23/2017
Last updated
05/24/2023
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