| NPI | 1588138762 |
|---|---|
| Doing Business As | BRENDON FEGAN LAC |
| Doing Business As | REBEL MED NW |
| Entity Type | Organization |
| Authorized Contact | BRENDON FEGAN Owner, Acupuncturist 734-904-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2020-02-21 |