Siddhartha M. G. Hannibal Wolong, LAC.

NPI #1437754801 in Litchfield, Minnesota

Provider Information

NPI Number: 1437754801
Entity Type: Individual
Name: Siddhartha M. G. Hannibal Wolong, LAC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC.
Enumeration Date: Dec 2, 2020
Last Updated: Dec 2, 2020

Practice Location

Address: 329 E HIGHWAY 12
City: Litchfield
State: Minnesota
ZIP Code: 55355-2295
Phone: (320) 699-0161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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