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Individual

IAN DANDENAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC , R.AC , MSTOM

Contact information

Practice address
156 DIVISION ST N, BATTLE CREEK, MI 49017-3953
(616) 308-4583
Mailing address
156 DIVISION ST N, BATTLE CREEK, MI 49017-3953
(616) 308-4583

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5401000218
MI

Other

Enumeration date
04/25/2017
Last updated
12/17/2018
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