Anne Putra L.AC.

NPI 1497042568 - Acupuncturist - 171100000X

NPI Details
NPI 1497042568
Gender Female
Enumeration Date 07/08/2011
Last Updated 07/08/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
204 E CAPITOL DR
SUITE 105
MILWAUKEE WI, 53212-1200, US
Phone (262) 470-1843
Fax
Business Location
204 E CAPITOL DR
SUITE 105
MILWAUKEE WI, 53212-1200, US
Phone (262) 470-1843
Fax
Toxanomy
Taxonomy Code 171100000X
License State Wisconsin
License Number 717-55
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According to our database, Ms. Anne Putra L.AC. NPI is 1497042568, taxonomy code is 171100000X and license number is 717-55, license state is located at Wisconsin. Anne Putra L.AC. physically located at 204 E Capitol Dr, Milwaukee WI, 53212-1200. NPI Number Anne Putra L.AC. has the Individual type.

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1497042568 NPI number is provided on an as is basis without warranty of any kind. 1497042568 is maintained by the National Plan & Provider Enumeration System. The contents of Anne Putra L.AC. are for informational purposes only.