| Vivant, Llc | |
|
630 S Central Ave Ste 102 Marshfield WI 54449-4196 | |
| (715) 869-6095 | |
| Not Available |
| Full Name | Vivant, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 630 S Central Ave Ste 102, Marshfield, Wisconsin |
| Authorized Official Name and Position | Elizabeth Lemoine (OWNER) |
| Authorized Official Contact | 7152529720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivant, Llc 806 W 5th St Marshfield WI 54449-2614 Ph: (715) 252-9720 | Vivant, Llc 630 S Central Ave Ste 102 Marshfield WI 54449-4196 Ph: (715) 869-6095 |
| NPI Number | 1396514386 |
|---|---|
| Provider Enumeration Date | 01/01/2024 |
| Last Update Date | 01/01/2024 |
| Certification Date | 01/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396514386 | NPI | - | NPPES |
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