Organization
TCM WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE VANECEK (ACUPUNCTURE PHYSICIAN)
(612) 965-5227
Entity
Organization
Contact information
Practice address
4661 SHORELINE DR, SPRING PARK, MN 55384-9715
(612) 965-5227
Mailing address
4661 SHORELINE DR, SPRING PARK, MN 55384-9715
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1543
MN
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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