Organization
WIND GATE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALLAN PROKOP JR. MAC, CH (ACUPUNCTURIST)
(724) 494-5051
Entity
Organization
Contact information
Practice address
42 E CROSS ST, BALTIMORE, MD 21230-4025
(724) 494-5051
Mailing address
3112 BARCLAY ST, BALTIMORE, MD 21218-3413
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02310
MD
Other
Enumeration date
04/07/2016
Last updated
03/17/2018
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