Individual
COLLEEN J O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N LAKEVIEW AVE, PORT WASHINGTON, WI 53074
(262) 573-2989
Mailing address
805 N LAKEVIEW AVE, PORT WASHINGTON, WI 53074
(262) 573-2989
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
868-55
WI
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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