Individual
ELIZABETH J MIERENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A., MAOM, ATC
Contact information
Practice address
890 W WINGRA DR, MADISON, WI 53715-1942
(608) 516-8949
Mailing address
890 W WINGRA DR, MADISON, WI 53715-1942
(608) 516-8949
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
733-055
WI
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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