Individual
WELLS BOVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
18142 MINNETONKA BLVD., DEEPHAVEN, MN 55391
(952) 345-3335
Mailing address
4409 COLUMBUS AVENUE S, MINNEAPOLIS, MN 55407-3501
(612) 220-4581
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1311
MN
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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