Provider Demographics
NPI:1164824298
Name:ACUPUNCTURE HEALTH CENTER
Entity Type:Organization
Organization Name:ACUPUNCTURE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-922-5000
Mailing Address - Street 1:6545 FRANCE AVE S
Mailing Address - Street 2:SUITE C21
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2131
Mailing Address - Country:US
Mailing Address - Phone:952-922-5000
Mailing Address - Fax:952-922-5003
Practice Address - Street 1:2550 UNIVERSITY AVE W
Practice Address - Street 2:SUITE 143N
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1052
Practice Address - Country:US
Practice Address - Phone:651-219-5100
Practice Address - Fax:651-219-5418
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACUPUNCTURE HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty