Individual
CHARLES BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1910 W HIGHWAY 61, GRAND MARAIS, MN 55604-7508
(218) 210-0123
Mailing address
70 BRANDON LN, GRAND MARAIS, MN 55604-2249
(218) 210-0123
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1750
MN
Other
Enumeration date
09/17/2015
Last updated
01/07/2020
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