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Theresa Jung-Sun Min, MSOM, R.Ac

Acupuncturist in Novi, MI. Individual provider (NPI-1).

NPI number1225432164
StatusActive
Last updated in NPPESOct 17, 2022

Details

NPI
1225432164
Entity type
Individual (NPI-1)
Name
Theresa Jung-Sun Min
Credential
MSOM, R.Ac
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 21, 2014
Certification date
Oct 17, 2022
Last updated
Oct 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist5401000143MIYes

Practice location

42350 Grand River Ave
Novi, MI 48375-1838

Phone 248-697-2942 · Fax 248-436-6628

Mailing address

42350 Grand River Ave
Novi, MI 48375-1838

Phone 248-697-2942 · Fax 248-436-6628

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