MEDICARE: ACUPUNCTURE AND HOLISTIC HEALTH ASSOCIATES

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	245-055	WI

General Provider Information

NPI Number	:	1154505014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUPUNCTURE AND HOLISTIC HEALTH ASSOCIATES

Provider Business Mailing Address
First Line	:	500 W SILVER SPRING DR STE K205
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217-5057
Country	:	US
Telephone Number	:	414-332-8888
Fax Number	:	414-332-1888

Provider Business Practice Location Address
First Line	:	500 W SILVER SPRING DR STE K205
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217-5057
Country	:	US
Telephone Number	:	414-332-8888
Fax Number	:	414-332-1888

Authorized Official
Title or Position	:	OWNER
Name	:	PHILIP FREEMAN
Credential	:	LAC
Telephone Number	:	414-332-8888

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	02/11/2026

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