Individual
BRENT TIMCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC, C.H.
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(083) 723-9716
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(083) 723-9716
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0437
AZ
Other
Enumeration date
02/13/2007
Last updated
04/08/2024
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