Provider Demographics
NPI:1407167638
Name:WERNER, ALISON (LAC)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:
Last Name:WERNER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2259 SCANDIA RD
Mailing Address - Street 2:
Mailing Address - City:SISTER BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54234-9288
Mailing Address - Country:US
Mailing Address - Phone:920-421-4221
Mailing Address - Fax:
Practice Address - Street 1:2259 SCANDIA RD
Practice Address - Street 2:
Practice Address - City:SISTER BAY
Practice Address - State:WI
Practice Address - Zip Code:54234-9288
Practice Address - Country:US
Practice Address - Phone:920-421-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI680055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist