Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIDDHARTHA M. G. HANNIBAL WOLONG, LAC.
Active Sole ProprietorSIDDHARTHA M. G. HANNIBAL WOLONG, LAC. is a Acupuncturist healthcare provider located in LITCHFIELD, Minnesota. NPI 1437754801 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · LITCHFIELD, MN
Registration Details
- NPI Number
- 1437754801
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2020 (5.680773183855 yrs)
- Last Updated
- Dec 2, 2020
- License
-
1695 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
329 E HIGHWAY 12LITCHFIELD, MN, 553552295Browse MN providers · Browse ZIP 55355
- Phone
- 3206990161
- Primary Specialty
-
Acupuncturist
171100000X
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.