| Evergreen Holistic Healing Llc | |
|
415 N Front St Spooner WI 54801-1403 | |
| (715) 544-8964 | |
| Not Available |
| Full Name | Evergreen Holistic Healing Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 415 N Front St, Spooner, Wisconsin |
| Authorized Official Name and Position | Parker Hewes (BUSINESS MANAGER) |
| Authorized Official Contact | 7155448964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Holistic Healing Llc 415 N Front St Spooner WI 54801-1403 Ph: (715) 544-8964 | Evergreen Holistic Healing Llc 415 N Front St Spooner WI 54801-1403 Ph: (715) 544-8964 |
| NPI Number | 1255145819 |
|---|---|
| Provider Enumeration Date | 02/04/2025 |
| Last Update Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255145819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |