Provider Demographics
NPI:1811345366
Name:TOWERING PINES ACUPUNCTURE AND ORIENTAL MEDICINE
Entity type:Organization
Organization Name:TOWERING PINES ACUPUNCTURE AND ORIENTAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUKOFER-PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSOM, LMT
Authorized Official - Phone:262-549-2349
Mailing Address - Street 1:316 OAKTON AVE
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-3540
Mailing Address - Country:US
Mailing Address - Phone:262-549-2349
Mailing Address - Fax:
Practice Address - Street 1:N6W27539 NORTHVIEW RD
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1911
Practice Address - Country:US
Practice Address - Phone:262-549-2349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty