NPI | 1740996602 |
---|---|
Doing Business As | WEIGHT IN GOLD |
Entity Type | Organization |
Authorized Contact | LESLIE GOLDEN Physician Owner 920-471-4044 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 133V00000X Dietitian, Registered |
207QB0002X Family Medicine, Bariatric Medicine | |
207R00000X Internal Medicine | |
207RB0002X Internal Medicine, Bariatric Medicine | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-01-24 |
Last Update Date | 2024-03-18 |