Individual
MICHAEL EDWARD CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1635 OLYMPIC HWY N, SUITE 102A, SHELTON, WA 98584-3065
(360) 462-8087
(360) 462-8088
Mailing address
PO BOX 1821, SHELTON, WA 98584-5014
(360) 462-8087
(360) 462-8088
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60114584
WA
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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