| Life Wellness Center - Appleton | |
|
5 Innovation Ct Ste B Appleton WI 54914-1739 | |
| (920) 727-7223 | |
| Not Available |
| Full Name | Life Wellness Center - Appleton |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5 Innovation Ct Ste B, Appleton, Wisconsin |
| Authorized Official Name and Position | Michelle D Ruth (IMPLEMENTATION & TRAINING COORDINAT) |
| Authorized Official Contact | 4143751623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Wellness Center - Appleton 8919 W Heather Ave Milwaukee WI 53224-2417 Ph: (414) 375-1623 | Life Wellness Center - Appleton 5 Innovation Ct Ste B Appleton WI 54914-1739 Ph: (920) 727-7223 |
| NPI Number | 1043703838 |
|---|---|
| Provider Enumeration Date | 06/07/2018 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043703838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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