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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARINO MOUTAFIS, REG. AC.

Active Sole Proprietor

MARINO MOUTAFIS, REG. AC. is a Acupuncturist healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1366867624 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · WEST BLOOMFIELD, MI

Registration Details

NPI Number
1366867624
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2014 (12.429623070228 yrs)
Last Updated
Oct 11, 2019
License
5401000071 (MI)
Sole Proprietor
Yes

Practice Information

Address
7115 ORCHARD LAKE RD STE 410
WEST BLOOMFIELD, MI, 483223655
Browse MI providers · Browse ZIP 48322
Phone
2484322846
Fax
2487572172
Primary Specialty
Acupuncturist
171100000X

Other Acupuncturist Providers in WEST BLOOMFIELD, MI

Name Credential NPI
JULIE SILVER 1912281767
JILL ELIZABETH STORCH-TOLENTINO LAC 1275889727
ROU WANG 1396331971
THEODORA KOLKENA L.AC 1285525667
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.