# BLUE HORIZEN WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medi weightloss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518857416
- **Authorized official:** MARYAM SHITTU MD (CEO)
- **Authorized official phone:** (909) 266-3404

## Contact information

- **Practice address:** 3333 S SUNNY SLOPE RD STE 108, NEW BERLIN, WI 53151-4504
- **Practice address phone:** (262) 317-9660
- **Practice address fax:** (262) 317-9660
- **Mailing address:** 3173 W RIVER ESTATES DR, MEQUON, WI 53092-2217
- **Mailing address phone:** (909) 266-3404
- **Mailing address fax:** (909) 266-3404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2025
- **Last updated:** 02/10/2026