Individual
MARINO MOUTAFIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REG. AC.
Contact information
Practice address
7115 ORCHARD LAKE RD STE 410, WEST BLOOMFIELD, MI 48322-3655
(248) 432-2846
(248) 757-2172
Mailing address
7115 ORCHARD LAKE RD STE 410, WEST BLOOMFIELD, MI 48322-3655
(248) 432-2846
(248) 757-2172
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5401000071
MI
Other
Enumeration date
02/24/2014
Last updated
10/11/2019
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