Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1109 | OR |
NPI | 1083098446 |
---|---|
Provider Name | Dr. Annalisa Behling |
First Address | Swartz Creek, MI 48473-1901 |
Second Address | Swartz Creek, MI 48473-1901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2015 |
Last Update Date | 16/07/2015 |