Individual
MR. DAN HAMPTON DEFOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
307 S MAPLE ST, NORTH FREEDOM, WI 53951-9685
(608) 522-5022
Mailing address
305 S MAPLE ST, NORTH FREEDOM, WI 53951-9685
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
146055
WI
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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