NPI | 1972963890 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN BRADLEY ROSENTHAL Clinic Director 608-322-4408 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: WI 711-055) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2016-03-04 |