| |
W177n9856 Rivercrest Dr Ste 112, Germantown, WI 53022-4612 | |
(262) 293-4493 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | W177n9856 Rivercrest Dr Ste 112, Germantown, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902186844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | 730-55 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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W177n9856 Rivercrest Dr Ste 112, Germantown, WI 53022-4612 Ph: (262) 293-4493 | W177n9856 Rivercrest Dr Ste 112, Germantown, WI 53022-4612 Ph: (262) 293-4493 |
Ms. Carey Lynn Garcia, Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: W177n9856 Rivercrest Dr, Suite 112, Germantown, WI 53022 Phone: 262-293-4493 |