Organization
ADVANCED ACUPUNCTURE & PAIN MANAGEMENT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EDWARD SIMMONS L.AC. (OWNER, L.AC.)
(763) 213-9936
Entity
Organization
Contact information
Practice address
2129 2ND ST, WHITE BEAR LAKE, MN 55110-3458
(612) 547-9301
Mailing address
2129 2ND ST, WHITE BEAR LAKE, MN 55110-3458
(612) 547-9301
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1626
MN
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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