Siddhartha M G Hannibal Wolong, LAC is a
Acupuncturist based in Litchfield, Minnesota. Siddhartha M G Hannibal Wolong is licensed to practice in Minnesota (license number 1695) and his current practice location is
329 E Highway 12, Litchfield, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 699-0161.
NPI number for Siddhartha M G Hannibal Wolong is 1437754801 and his current mailing address is 329 E Highway 12, Litchfield, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437754801.
Healthcare Provider's Profile
| Full Name | Siddhartha M G Hannibal Wolong |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 329 E Highway 12, Litchfield, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437754801
- Provider Enumeration Date: 12/02/2020
- Last Update Date: 12/02/2020
Medical Identifiers
Medical identifiers for Siddhartha M G Hannibal Wolong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437754801 | NPI | - | NPPES |
| P146113245311 | Other | MN | DRIVERS LICENSE |
| 1695 | Other | MN | STATE OF MN MINNESOTA BOARDS OF MEDICAL PRACTICE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 1695 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Siddhartha M G Hannibal Wolong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Siddhartha M G Hannibal Wolong, LAC
329 E Highway 12,
Litchfield, MN 55355-2295
Ph: (320) 699-6061 | Siddhartha M G Hannibal Wolong, LAC
329 E Highway 12,
Litchfield, MN 55355-2295
Ph: (320) 699-0161 |
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