MEDICARE: MARC WESTERGARD DOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP 1456	FL

General Provider Information

NPI Number	:	1063449643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC WESTERGARD DOM

Provider Business Mailing Address
First Line	:	13220 BELCHER RD S
Second Line	:	SUITE 8
City	:	LARGO
State	:	FL
Zip	:	33773-1677
Country	:	US
Telephone Number	:	727-507-7680
Fax Number	:

Provider Business Practice Location Address
First Line	:	13220 BELCHER RD S
Second Line	:	SUITE 8
City	:	LARGO
State	:	FL
Zip	:	33773-1677
Country	:	US
Telephone Number	:	727-507-7680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	03/31/2016

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Directions to “ MARC WESTERGARD DOM” Practice Location

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