NPI 1023761483

Charles Dane Hollis, LAC

Practitioner Acupuncturist Milwaukee, WI

Practice location

Address: 4813 W National Ave, Milwaukee, WI 53214-3523
Phone: (414) 502-8235
Fax: (414) 921-9772
Mailing address: S30w30370 Sunset Dr, Waukesha, WI 53189-9007

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 1041-55 (WI)

Other Acupuncturist providers in Wisconsin →

Registry record

NPI: 1023761483
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2022
Record last updated: 19 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.