Provider Demographics
NPI:1982775250
Name:NOETZLI, CHRISTOPH HANS (LAC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPH
Middle Name:HANS
Last Name:NOETZLI
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 1:3948 W 50TH ST
Mailing Address - Street 2:#203
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55424-1210
Mailing Address - Country:US
Mailing Address - Phone:952-920-4528
Mailing Address - Fax:
Practice Address - Street 1:3948 W 50TH ST
Practice Address - Street 2:#203
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55424-1210
Practice Address - Country:US
Practice Address - Phone:952-920-4528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1314171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist