Organization
MADISON INTEGRATIVE MEDICINE ALLIANCE, INC
Active
Other names
Beijing Acupuncture & Chinese Herbal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SONG OMD, MD, PHD, LAC (PRESIDENT)
(608) 238-3333
Entity
Organization
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
187
WI
171100000X
Acupuncturist
Primary
232
WI
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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