| Iris Health Clinic Llc | |
|
200 N Main St Waupaca WI 54981-1520 | |
| (262) 420-9088 | |
| Not Available |
| Full Name | Iris Health Clinic Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 N Main St, Waupaca, Wisconsin |
| Authorized Official Name and Position | Peter Brunzelle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2624209088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Health Clinic Llc 200 N Main St Waupaca WI 54981-1520 Ph: (262) 420-9088 | Iris Health Clinic Llc 200 N Main St Waupaca WI 54981-1520 Ph: (262) 420-9088 |
| NPI Number | 1588267330 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588267330 | NPI | - | NPPES |
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