Medical Wellness LLC
NPI #1386023828 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1386023828
- Entity Type
- Organization
- Organization Name
- Medical Wellness LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 28, 2015
- Last Updated
- May 28, 2015
Practice Location
- Address
- 503 WOLCOTT RD
- Address 2
- #3
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-2673
- Phone
- (203) 948-1300
Authorized Official
- Name
- MR. STEVEN PAUL JESKE, APRN
- Title
- OWNER
- Phone
- (203) 948-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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