Individual
MR. CLARENCE HOWARD BUNKHOLT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
8120 PENN AVE S STE 419, BLOOMINGTON, MN 55431-1351
(612) 822-3454
Mailing address
8120 PENN AVE S STE 419, BLOOMINGTON, MN 55431-1351
(952) 224-9610
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1325
MN
Other
Enumeration date
09/19/2008
Last updated
01/03/2022
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