Individual
MARK MICHAEL SOBRALSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
N5268 17TH DR, WILD ROSE, WI 54984-6220
(312) 613-7396
Mailing address
N5268 17TH DR, WILD ROSE, WI 54984-6220
(312) 613-7396
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
93355
WI
Other
Enumeration date
06/06/2011
Last updated
07/07/2023
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