NPI 1174068753

Chunchieh Bruce Sun, LACLMT

Practitioner Acupuncturist Hartford, WI

Practice location

Address: 2762 Gateway Ave, Hartford, WI 53027-8310
Phone: (414) 312-1777

Registered specialties (3)

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 821-55 (WI)

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Acupuncturist

Other Service Providers Taxonomy 171100000X Licence 198.001288 (IL)

Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2308-146 (WI)

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Registry record

NPI: 1174068753
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2017
Record last updated: 5 Jan 2017

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.