Individual
MICHAEL WAYNE GANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
6155 TUNNEL LOOP RD, GRANTS PASS, OR 97526-8743
(541) 535-4325
Mailing address
6155 TUNNEL LOOP RD, GRANTS PASS, OR 97526-8743
(541) 535-4325
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00566
OR
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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