| Iam Integrative & Aesthetic Medicine, Ltd. | |
|
10602 N Port Washington Rd Ste. 101 Mequon WI 53092-5079 | |
| (415) 866-8757 | |
| Not Available |
| Full Name | Iam Integrative & Aesthetic Medicine, Ltd. |
|---|---|
| Speciality | Clinic/center |
| Location | 10602 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Adam C Miller (PRESIDENT) |
| Authorized Official Contact | 4158668757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iam Integrative & Aesthetic Medicine, Ltd. 10602 N Port Washington Rd Ste. 101 Mequon WI 53092-5079 Ph: () - | Iam Integrative & Aesthetic Medicine, Ltd. 10602 N Port Washington Rd Ste. 101 Mequon WI 53092-5079 Ph: (415) 866-8757 |
| NPI Number | 1568866150 |
|---|---|
| Provider Enumeration Date | 10/10/2014 |
| Last Update Date | 10/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568866150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6702-20 (Wisconsin) | Primary |
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