| NPI | 1023887684 |
|---|---|
| Doing Business As | MEDI WEIGHTLOSS WOODSTOCK |
| Entity Type | Organization |
| Authorized Contact | VANESSA MENKE Owner 925-595-4700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2024-02-21 |