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NPI Code Detail

MEDICARE: BARBARA L BROUWER LAC

MEDICARE: BARBARA L BROUWER LAC
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
1171100000XAcupuncturist340-55WI

General Provider Information

NPI Number : 1225525280
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA L BROUWER LAC
Provider Business Mailing Address
First Line : PO BOX 24
Second Line :
City : WHITEWATER
State : WI
Zip : 53190-0024
Country : US
Telephone Number : 517-256-9586
Fax Number :
Provider Business Practice Location Address
First Line : 511 MADISON AVE
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1444
Country : US
Telephone Number : 262-547-1411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2018
Last Update Date : 04/16/2018

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Directions to “ BARBARA L BROUWER LAC” Practice Location

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