| NPI | 1700335288 |
|---|---|
| Doing Business As | THREE WAVES INHEALTH CLINIC AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KYLE HANSEN Chief Medical Officer 414-755-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 43771-20) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |