Healthcare Provider Details

I. General information

NPI: 1568892412
Provider Name (Legal Business Name): PEGGY HUHE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PEGGY ANN HUHE L.AC.

II. Dates (important events)

Enumeration Date: 11/13/2013
Last Update Date: 11/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1652 GREENVIEW DR SW STE 110
ROCHESTER MN
55902-4219
US

IV. Provider business mailing address

1652 GREENVIEW DR SW STE 110
ROCHESTER MN
55902-4219
US

V. Phone/Fax

Practice location:
  • Phone: 507-269-7288
  • Fax:
Mailing address:
  • Phone: 507-269-7288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1446
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: