Provider Demographics
NPI:1609319839
Name:SCHLUETER, BJOERN DIRK JOACHIM (LAC)
Entity Type:Individual
Prefix:MR
First Name:BJOERN DIRK
Middle Name:JOACHIM
Last Name:SCHLUETER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 DE HARO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2705
Mailing Address - Country:US
Mailing Address - Phone:415-374-0692
Mailing Address - Fax:
Practice Address - Street 1:855 DE HARO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-2705
Practice Address - Country:US
Practice Address - Phone:415-374-0692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-20
Last Update Date:2016-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17419171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist