Borealis Wellness Clinic LLC

NPI #1912279316 in Medford, Wisconsin

Provider Information

NPI Number: 1912279316
Entity Type: Organization
Organization Name: Borealis Wellness Clinic LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 31, 2012
Last Updated: Nov 2, 2022

Practice Location

Address: 123 W STATE ST
City: Medford
State: Wisconsin
ZIP Code: 54451-1772
Phone: (715) 748-4333

Authorized Official

Name: DR. SAMUEL ROBERT KLINNER, D.C.
Title: OWNER
Phone: (715) 748-4433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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