Nova Integrated Care LLC
NPI #1679355358 in Eagle River, Wisconsin
Provider Information
- NPI Number
- 1679355358
- Entity Type
- Organization
- Organization Name
- Nova Integrated Care LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 18, 2023
- Last Updated
- Oct 18, 2023
Practice Location
- Address
- 302 W PINE ST STE 2
- City
- Eagle River
- State
- Wisconsin
- ZIP Code
- 54521-9349
- Phone
- (715) 891-0088
Authorized Official
- Name
- JILL BRUNSTAD, PA
- Title
- OWNER/PHYSICIAN ASSISTANT
- Phone
- (715) 891-0088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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