Individual
MICHELLE WHISMAN SUPSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
624 BRIDLE RD, GLENSIDE, PA 19038-2004
(267) 210-5348
Mailing address
624 BRIDLE RD, GLENSIDE, PA 19038-2004
(267) 210-5348
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
PA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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