Individual
DANA WEIDENBENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., MSTOM
Contact information
Practice address
725 W 6TH ST, JASPER, IN 47546-2629
(812) 639-1961
Mailing address
PO BOX 24, JASPER, IN 47547-0024
(812) 639-1961
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
IN
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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