NPI 1285162123
Michael Wiadro, LAC
Practice location
- Address
- 424 S Ridge St STE 3, Breckenridge, CO 80424
- Phone
- (610) 389-8422
- Mailing address
- 862 Shekel Ln, Breckenridge, CO 80424-8958
Registered specialties (2)
Acupuncturist
Primary
Acupuncturist
Registry record
- NPI
- 1285162123
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 May 2017
- Record last updated
- 24 May 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.