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Organization
WINDHAM INTEGRATIVE MEDICAL CLINIC
Active
Organization
WINDHAM INTEGRATIVE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA C WINDHAM DO (PRESIDENT)
(714) 955-1508
Entity
Organization
Contact information
Practice address
5000 BIRCH ST STE 3000, NEWPORT BEACH, CA 92660-2140
(714) 955-1508
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 858-4106
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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