Organization
MILWAUKEE COMMUNITY ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SEVERINSEN L. AC. (MANAGER, PRESIDENT OF BOARD)
(414) 943-2915
Entity
Organization
Contact information
Practice address
435 E LINCOLN AVE, MILWAUKEE, WI 53207-1756
(414) 943-2915
Mailing address
435 E LINCOLN AVE, MILWAUKEE, WI 53207-1756
(414) 943-2915
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
502055
WI
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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