| Complete Wellness Clinic, Inc. | |
|
402 E Norway Ave Mitchell SD 57301-4790 | |
| (605) 990-5005 | |
| (605) 990-5006 |
| Full Name | Complete Wellness Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 402 E Norway Ave, Mitchell, South Dakota |
| Authorized Official Name and Position | Nathan Timmer (OWNER) |
| Authorized Official Contact | 6059905005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Wellness Clinic, Inc. 402 E Norway Ave Mitchell SD 57301-4790 Ph: (605) 990-5005 | Complete Wellness Clinic, Inc. 402 E Norway Ave Mitchell SD 57301-4790 Ph: (605) 990-5005 |
| NPI Number | 1245037027 |
|---|---|
| Provider Enumeration Date | 02/27/2025 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Medicare PECOS PAC ID | 5395257950 |
|---|---|
| Medicare Enrollment ID | O20250620001453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245037027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Nathan John Timmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972890911 PECOS PAC ID: 0648499129 Enrollment ID: I20140915002700 |
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