| NPI | 1043703838 |
|---|---|
| Doing Business As | LIFE WELLNESS CENTER - APPLETON |
| Entity Type | Organization |
| Authorized Contact | MICHELLE D RUTH Implementation & Training Coordinat 414-375-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-26 |