| Maehnowesekiyah Wellness Center | |
|
N2150 Kesaehkahtek Rd Gresham WI 54128-9602 | |
| (715) 799-3835 | |
| (715) 799-3836 |
| Full Name | Maehnowesekiyah Wellness Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | N2150 Kesaehkahtek Rd, Gresham, Wisconsin |
| Authorized Official Name and Position | Addie Mae Caldwell (DIRECTOR OF WELLNESS PROGRAMS) |
| Authorized Official Contact | 7157993835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maehnowesekiyah Wellness Center N2150 Kesaehkahtek Rd Gresham WI 54128-9602 Ph: (715) 799-3835 | Maehnowesekiyah Wellness Center N2150 Kesaehkahtek Rd Gresham WI 54128-9602 Ph: (715) 799-3835 |
| NPI Number | 1497910103 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497910103 | NPI | - | NPPES |
| 42151300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1554 (Wisconsin) | Primary |