| Integrative Medical And Wellness, Llc | |
|
520 Hartbrook Dr Ste H Hartland WI 53029-1405 | |
| (262) 369-7900 | |
| Not Available |
| Full Name | Integrative Medical And Wellness, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 520 Hartbrook Dr Ste H, Hartland, Wisconsin |
| Authorized Official Name and Position | Jonathan Lo (OWNER, AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2623697900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Medical And Wellness, Llc 520 Hartbrook Dr Ste H Hartland WI 53029-1405 Ph: () - | Integrative Medical And Wellness, Llc 520 Hartbrook Dr Ste H Hartland WI 53029-1405 Ph: (262) 369-7900 |
| NPI Number | 1578195053 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Medicare PECOS PAC ID | 6305274697 |
|---|---|
| Medicare Enrollment ID | O20200320000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578195053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa Davey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891129482 PECOS PAC ID: 3072855253 Enrollment ID: I20190509000694 |
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