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NPI Code Detail

MEDICARE: HONG GAO L.AC

MEDICARE: HONG GAO L.AC
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
1171100000XAcupuncturist5402000198MI

General Provider Information

NPI Number : 1336688696
Entity Type Code : Individual
Provider Name (Legal Business Name) : HONG GAO L.AC
Provider Business Mailing Address
First Line : 1777 AXTELL DR STE 102
Second Line :
City : TROY
State : MI
Zip : 48084-4400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1777 AXTELL DR STE 102
Second Line :
City : TROY
State : MI
Zip : 48084-4400
Country : US
Telephone Number : 248-509-0766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2017
Last Update Date : 04/19/2026

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Directions to “ HONG GAO L.AC” Practice Location

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