Individual
MICHAEL WEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
6177 E MOUNTAIN HEALTHER WAY SUITE 5, PALMER, AK 99645
(907) 745-7928
Mailing address
17450 E FAMILY CIR, PALMER, AK 99645-8608
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AA10
AK
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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