Organization
PERFORMANCE ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PATRICK EGAN L.AC., DIPL.O.M. (PRESIDENT)
(612) 743-0397
Entity
Organization
Contact information
Practice address
2720 W 43RD ST STE 205, MINNEAPOLIS, MN 55410-1643
(612) 743-0397
Mailing address
2720 W 43RD ST STE 205, MINNEAPOLIS, MN 55410-1643
(612) 743-0397
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1471
MN
Other
Enumeration date
03/11/2010
Last updated
12/21/2010
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