Individual
DR. KENTON WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DACM, LAC
Contact information
Practice address
2621 W WACKERLY ST STE E, MIDLAND, MI 48640-6994
(989) 496-7472
Mailing address
2621 W WACKERLY ST STE E, MIDLAND, MI 48640-6994
(571) 417-8463
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000803
VA
Other
Enumeration date
02/13/2016
Last updated
02/06/2020
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