Individual
MIGUEL ANGEL BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
4318 W. FORESTHOWE AVE., MILWAUKEE, WI 53219
(847) 224-6159
(847) 829-3991
Mailing address
4318 W. FOREST HOME AVE., MILWAUKEE, WI 53219
(847) 224-6159
(847) 829-3991
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
637-055
WI
Other
Enumeration date
08/13/2009
Last updated
09/01/2009
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