Organization
WAOMIRC GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC E VANDENHOUTEN P.HD,D.O.M.LAC (PRESIDENT)
(920) 785-0398
Entity
Organization
Contact information
Practice address
521 S MILITARY AVE STE A, GREEN BAY, WI 54303-2209
(920) 785-0398
Mailing address
521 S MILITARY AVE STE A, GREEN BAY, WI 54303-2209
(920) 785-0398
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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