Mss Wellness Programs LLC
Physician Assistant in Ogema, WI. Organization (NPI-2).
NPI number1174734883
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1174734883
- Entity type
- Organization (NPI-2)
- Legal business name
- Mss Wellness Programs LLC
- Organization subpart
- No
- Enumeration date
- May 24, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1813-023 | WI | Yes |
Practice location
N1882 W Schoolhouse RdOgema, WI 54459-8304
Phone 715-767-5360 · Fax 715-767-5460
Mailing address
612 E Perkins StMedford, WI 54451-1913
Phone 715-748-3197 · Fax 715-748-0559
Authorized official
Walther William Meyer
Managing Member
7157483197
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.