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NPI Code Detail

MEDICARE: BALANCED INTEGRATIVE HEALTH

MEDICARE: BALANCED INTEGRATIVE HEALTH
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
1171100000XAcupuncturist1816MN

General Provider Information

NPI Number : 1659816635
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALANCED INTEGRATIVE HEALTH
Provider Business Mailing Address
First Line : 805 MAIN ST S
Second Line :
City : PINE CITY
State : MN
Zip : 55063-1660
Country : US
Telephone Number : 320-629-5288
Fax Number : 320-629-8589
Provider Business Practice Location Address
First Line : 805 MAIN ST S
Second Line :
City : PINE CITY
State : MN
Zip : 55063-1660
Country : US
Telephone Number : 320-629-5288
Fax Number : 320-629-8589
Authorized Official
Title or Position : ORIENTAL MEDICINE, ACUPUNCTURIST
Name : JULIE ANNE MONIEA SKLUZACEK
Credential : L.A.C.
Telephone Number : 320-980-7851
Provider Enumeration Date : 12/29/2016
Last Update Date : 12/29/2016

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Directions to “BALANCED INTEGRATIVE HEALTH ” Practice Location

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