NPI | 1285188706 |
---|---|
Entity Type | Organization |
Authorized Contact | KORINA K ST JOHN RONGITSCH Licensed Acupuncturist 989-720-4325 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 1755) |
Enumeration Date | 2016-08-12 |
Last Update Date | 2016-08-12 |