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Individual

DR. JOHN MICHAEL HOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AP, DOM

Contact information

Practice address
2215A 59TH ST W, BRADENTON, FL 34209-7017
(941) 761-4994
(941) 761-7224
Mailing address
2215A 59TH ST W, BRADENTON, FL 34209-7017
(941) 761-4994
(941) 761-7224

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2012
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP2012
LIC #
FL
01
C001K
BCBS #
FL
Enumeration date
09/20/2005
Last updated
02/20/2008
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