Provider Demographics
NPI:1780856096
Name:HE, TAO (DIPL AC)
Entity type:Individual
Prefix:DR
First Name:TAO
Middle Name:
Last Name:HE
Suffix:
Gender:M
Credentials:DIPL AC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4149 WOODRUSH LN NW
Mailing Address - Street 2:
Mailing Address - City:COMSTOCK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:49321-9362
Mailing Address - Country:US
Mailing Address - Phone:616-540-6072
Mailing Address - Fax:616-785-3722
Practice Address - Street 1:4149 WOODRUSH LN NW
Practice Address - Street 2:
Practice Address - City:COMSTOCK PARK
Practice Address - State:MI
Practice Address - Zip Code:49321-9362
Practice Address - Country:US
Practice Address - Phone:616-540-6072
Practice Address - Fax:616-785-3722
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI20944171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist