Individual
DR. SAMANTHA BOEHNLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.AC, L.AC, CHC
Contact information
Practice address
N7640 COUNTY ROAD WH, FOND DU LAC, WI 54937-7835
(312) 684-0332
Mailing address
W545 APPLE LN, SAINT CLOUD, WI 53079-1485
(312) 684-0332
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1005-55
WI
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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