Individual
DR. JONATHAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OMD, MD, PHD, LAC
Contact information
Practice address
6255 UNIVERSITY AVE, SUITE 202, MIDDLETON, WI 53562-3485
(608) 238-3333
(608) 238-3374
Mailing address
6255 UNIVERSITY AVE, SUITE 202, MIDDLETON, WI 53562-3485
(608) 238-3333
(608) 238-3374
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
232
WI
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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