| Waw Mind And Body | |
|
5002 Fox Knoll Ln Colgate WI 53017-9127 | |
| (262) 264-8414 | |
| (803) 393-8908 |
| Full Name | Waw Mind And Body |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |