Maehnowesekiyah Wellness Center | |
N2150 Kesaehkahtek Rd Gresham WI 54128-9602 | |
(715) 799-3835 | |
(715) 799-3836 |
Full Name | Maehnowesekiyah Wellness Center |
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Speciality | Community/behavioral Health |
Location | N2150 Kesaehkahtek Rd, Gresham, Wisconsin |
Authorized Official Name and Position | Addie Mae Caldwell (DIRECTOR OF WELLNESS PROGRAMS) |
Authorized Official Contact | 7157993835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maehnowesekiyah Wellness Center N2150 Kesaehkahtek Rd Gresham WI 54128-9602 Ph: (715) 799-3835 | Maehnowesekiyah Wellness Center N2150 Kesaehkahtek Rd Gresham WI 54128-9602 Ph: (715) 799-3835 |
NPI Number | 1497910103 |
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Provider Enumeration Date | 07/22/2008 |
Last Update Date | 08/09/2022 |
Certification Date | 08/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497910103 | NPI | - | NPPES |
42151300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1554 (Wisconsin) | Primary |