Evolve Psychiatry And Wellness | |
N51w34306 Park Bay Rd Okauchee WI 53069-9712 | |
(414) 531-2933 | |
Not Available |
Full Name | Evolve Psychiatry And Wellness |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | N51w34306 Park Bay Rd, Okauchee, Wisconsin |
Authorized Official Name and Position | Abby Jean Baneck (CEO, PROVIDER) |
Authorized Official Contact | 4145312933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evolve Psychiatry And Wellness N51w34306 Park Bay Rd Okauchee WI 53069-9712 Ph: (414) 531-2933 | Evolve Psychiatry And Wellness N51w34306 Park Bay Rd Okauchee WI 53069-9712 Ph: (414) 531-2933 |
NPI Number | 1275369647 |
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Provider Enumeration Date | 09/11/2024 |
Last Update Date | 09/11/2024 |
Certification Date | 09/11/2024 |
Identifier | Type | State | Issuer |
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1275369647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |