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Organization

FWC ACU LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENTON WADSWORTH (MEMBER)
(989) 496-7472
Entity
Organization

Contact information

Practice address
2621 W WACKERLY ST STE E, MIDLAND, MI 48640-6994
(989) 496-7472
(989) 633-9130
Mailing address
2621 W WACKERLY ST STE E, MIDLAND, MI 48640-6994
(989) 496-7472

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
02/06/2020
Last updated
06/08/2022
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