Waupaca Wellness Center Llc

NPI 1003132556 - Clinic/Center - 261Q00000X

NPI Details
NPI 1003132556
Enumeration Date 04/08/2010
Last Updated 12/15/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JEFFREY CLEVE JEFFREY
Position OWNER
Phone (715) 258-7444
Fax (715) 258-7844
Practice Location
1336 MICHIGAN ST
SUITE A
WAUPACA WI, 54981-1648, US
Phone (715) 258-7444
Fax (715) 258-7844
Business Location
1336 MICHIGAN ST
SUITE A
WAUPACA WI, 54981-1648, US
Phone (715) 258-7444
Fax (715) 258-7844
Toxanomy
Taxonomy Code 261Q00000X
License State Wisconsin
License Number 3702-012
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According to our database, Waupaca Wellness Center Llc NPI is 1003132556, taxonomy code is 261Q00000X and license number is 3702-012, license state is located at Wisconsin. Waupaca Wellness Center Llc physically located at 1336 Michigan St, Waupaca WI, 54981-1648. NPI Number 1033115704 has the healthcare provider type.

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1003132556 NPI number is provided on an as is basis without warranty of any kind. 1003132556 is maintained by the National Plan & Provider Enumeration System. The contents of Waupaca Wellness Center Llc are for informational purposes only.