Medical Acupuncture & Pain Clinic Sc

NPI #1033130927 in West Bend, Wisconsin

Provider Information

NPI Number: 1033130927
Entity Type: Organization
Organization Name: Medical Acupuncture & Pain Clinic Sc
Primary Specialty: Acupuncturist
Enumeration Date: Jul 23, 2006
Last Updated: Oct 6, 2011

Practice Location

Address: 422 MEADOWBROOK DR
City: West Bend
State: Wisconsin
ZIP Code: 53090-2416
Phone: (262) 335-8025

Authorized Official

Name: JESSE VEGAFRIA, MD
Title: OWNER/PRESIDENT
Phone: (262) 335-8025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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