| Nuderma Med Spa And Wellness Center | |
|
N14w23777 Stone Ridge Dr Ste 290 Waukesha WI 53188-1140 | |
| (262) 716-7580 | |
| Not Available |
| Full Name | Nuderma Med Spa And Wellness Center |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | N14w23777 Stone Ridge Dr Ste 290, Waukesha, Wisconsin |
| Authorized Official Name and Position | Justin Hanson (PRESIDENT) |
| Authorized Official Contact | 2627167580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuderma Med Spa And Wellness Center N14w23777 Stone Ridge Dr Ste 290 Waukesha WI 53188-1140 Ph: () - | Nuderma Med Spa And Wellness Center N14w23777 Stone Ridge Dr Ste 290 Waukesha WI 53188-1140 Ph: (262) 716-7580 |
| NPI Number | 1215642285 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215642285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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