Waw Mind And Body | |
5002 Fox Knoll Ln Colgate WI 53017-9127 | |
(262) 264-8414 | |
(803) 393-8908 |
Full Name | Waw Mind And Body |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5002 Fox Knoll Ln, Colgate, Wisconsin |
Authorized Official Name and Position | Sarah E Wawrzyniak (NURSE PRACTITIONER) |
Authorized Official Contact | 8034572242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Waw Mind And Body 5002 Fox Knoll Ln Colgate WI 53017-9127 Ph: (262) 264-8414 | Waw Mind And Body 5002 Fox Knoll Ln Colgate WI 53017-9127 Ph: (262) 264-8414 |
NPI Number | 1003604737 |
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Provider Enumeration Date | 04/30/2025 |
Last Update Date | 05/02/2025 |
Certification Date | 05/02/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003604737 | NPI | - | NPPES |
1740465111 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |