Organization
BLOOMING BUDS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIYA RUNTOVA MSOM (OWNER)
(414) 350-8279
Entity
Organization
Contact information
Practice address
333 BISHOPS WAY, SUITE 121, BROOKFIELD, WI 53005-6226
(414) 350-8279
Mailing address
3545 E TESCH AVE, # 3, SAINT FRANCIS, WI 53235-4862
(414) 350-8279
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
823-55
WI
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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