| Lifestyle Wellness Clinic | |
|
7111 Forthun Rd Ste 200 Baxter MN 56425-8596 | |
| (218) 820-1516 | |
| Not Available |
| Full Name | Lifestyle Wellness Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 7111 Forthun Rd Ste 200, Baxter, Minnesota |
| Authorized Official Name and Position | Shelly Hice (OWNER) |
| Authorized Official Contact | 2183306333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Wellness Clinic 7111 Forthun Rd Ste 200 Baxter MN 56425-8596 Ph: (218) 820-1516 | Lifestyle Wellness Clinic 7111 Forthun Rd Ste 200 Baxter MN 56425-8596 Ph: (218) 820-1516 |
| NPI Number | 1508615980 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508615980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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