Individual
JASON GAURUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1130 CATALPA DR, BERKLEY, MI 48072-2095
(248) 951-8897
Mailing address
610 W SARATOGA ST, FERNDALE, MI 48220-3338
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5402000006
MI
Other
Enumeration date
08/13/2015
Last updated
09/28/2022
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