| Organization Name: | AGAPES ACUPUNCTURE, SC |
| NPI Number: | 1154474252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARL ROBERT POLEY (PRESIDENT) |
| Mailing Address: | 566 Redbird Cir De Pere |
| State: | WI US |
| Postal Code: | 541158796 |
| Phone Number: | 9203379100 |
| Fax Number: | 9203379101 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 03/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |