Oriental Medicine Clinic

NPI #1164811766 in Sussex, Wisconsin

Provider Information

NPI Number
1164811766
Entity Type
Organization
Organization Name
Oriental Medicine Clinic
Primary Specialty
Acupuncturist
Enumeration Date
Jan 20, 2015
Last Updated
Jan 25, 2017

Practice Location

Address
W249 N5245 EXECUTIVE DR.
Address 2
SUITE 208
City
Sussex
ZIP Code
53089
Phone
(262) 691-8888

Authorized Official

Name
MS. PHEBE SOON PURNELL, ALC
Title
OWNER
Phone
(262) 691-8888

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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