Integrative Medical and Wellness, LLC

NPI #1578195053 in Hartland, Wisconsin

Provider Information

NPI Number: 1578195053
Entity Type: Organization
Organization Name: Integrative Medical and Wellness, LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 12, 2020
Last Updated: Feb 12, 2020

Practice Location

Address: 520 HARTBROOK DR STE H
City: Hartland
State: Wisconsin
ZIP Code: 53029-1405
Phone: (262) 369-7900

Authorized Official

Name: JONATHAN LO
Title: OWNER, AUTHORIZED OFFICIAL
Phone: (262) 369-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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