NORTHEAST WISCONSIN WELLNESS ASSOCIATES, LLC

KAUKAUNA, WI
NPI1699530683
Entity TypeOrganization
Authorized ContactDIANE MOGA ROACH
Owner
920-766-5040
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2024-02-19
Last Update Date2024-02-19
Business Address
NORTHEAST WISCONSIN WELLNESS ASSOCIATES, LLC
1941 LEHRER LN
KAUKAUNA, WI 54130-7704
Phone number: 920-766-5040
Mailing Address
NORTHEAST WISCONSIN WELLNESS ASSOCIATES, LLC
1941 LEHRER LN
KAUKAUNA, WI 54130-7704
Phone number: 920-766-5040