| Ws Wellness Llc | |
|
9049 Springboro Pike Miamisburg OH 45342-4926 | |
| (937) 759-0545 | |
| Not Available |
| Full Name | Ws Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9049 Springboro Pike, Miamisburg, Ohio |
| Authorized Official Name and Position | Emilie Breeding (OWNER) |
| Authorized Official Contact | 9377590545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ws Wellness Llc 9049 Springboro Pike Miamisburg OH 45342-4926 Ph: (937) 759-0545 | Ws Wellness Llc 9049 Springboro Pike Miamisburg OH 45342-4926 Ph: (937) 759-0545 |
| NPI Number | 1225710668 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 8224487905 |
|---|---|
| Medicare Enrollment ID | O20231206002070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225710668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Primary |
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| Provider Name | Robert Polak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730599366 PECOS PAC ID: 2567760796 Enrollment ID: I20210831002334 |
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