Provider Demographics
NPI:1235308859
Name:EASTWIND ACUPUNCTURE AND TUINA HEALING CENTER
Entity Type:Organization
Organization Name:EASTWIND ACUPUNCTURE AND TUINA HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:WEI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:612-377-0080
Mailing Address - Street 1:3300 LYNDALE AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3656
Mailing Address - Country:US
Mailing Address - Phone:612-377-0080
Mailing Address - Fax:
Practice Address - Street 1:3300 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3656
Practice Address - Country:US
Practice Address - Phone:612-377-0080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1085171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP42639OtherHEALTHPARTNER