Individual
GRANT DU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C A
Contact information
Practice address
1410 GREENWAY CROSS # 101, MADISON, WI 53713-3111
(608) 358-3190
Mailing address
1410 GREENWAY CROSS # 101, MADISON, WI 53713-3111
(608) 358-3190
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
551-055
WI
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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