DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COURTNEY WILSON MSTOM R.AC.

MEDICARE: COURTNEY WILSON MSTOM R.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
1171100000XAcupuncturist5401000052MI

General Provider Information

NPI Number : 1952774739
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY WILSON MSTOM R.AC.
Provider Business Mailing Address
First Line : 4710 EASTMAN AVE
Second Line :
City : MIDLAND
State : MI
Zip : 48640-2606
Country : US
Telephone Number : 989-341-1070
Fax Number : 888-965-5108
Provider Business Practice Location Address
First Line : 4710 EASTMAN AVE
Second Line :
City : MIDLAND
State : MI
Zip : 48640-2606
Country : US
Telephone Number : 989-341-1070
Fax Number : 888-965-5108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2015
Last Update Date : 12/11/2019

Similar Medicare Providers

1417381070 — MIDLAND CHIROPRACTIC
Practice Location Address:
4710 EASTMAN AVE
MIDLAND, MI
48640-2606
Practice Phone: 772-359-8108
Practice Fax:
1851764666 — MIDLAND PHYSICAL THERAPY SPORTS REHAB
Practice Location Address:
4710 EASTMAN AVE
MIDLAND, MI
48640-2606
Practice Phone: 989-341-1070
Practice Fax: 989-341-1072
1881107522 — ERIC PAUL FRIDLINE DPT
Practice Location Address:
4710 EASTMAN AVE
MIDLAND, MI
48640-2606
Practice Phone: 989-341-1070
Practice Fax: 989-341-1072
1619503885 — SHANE MEYERS
Practice Location Address:
4710 EASTMAN AVE
MIDLAND, MI
48640-2606
Practice Phone: 989-341-1070
Practice Fax:
1467051995 — EMILY K MOLNAR DPT
Practice Location Address:
4710 EASTMAN AVE
MIDLAND, MI
48640-2606
Practice Phone: 989-341-1070
Practice Fax: 888-965-5108
1235917634 — KASSIDY DREW DAVIS PT, DPT
Practice Location Address:
4710 EASTMAN AVE
MIDLAND, MI
48640-2606
Practice Phone: 989-341-1070
Practice Fax:

Directions to “ COURTNEY WILSON MSTOM R.AC.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.