# WEIGHT IN GOLD WELLNESS S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Weight In Gold
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740996602
- **Authorized official:** DR. LESLIE GOLDEN MD (PHYSICIAN OWNER)
- **Authorized official phone:** (920) 471-4044

## Contact information

- **Practice address:** 123 HOSPITAL DR STE 212, WATERTOWN, WI 53098-3336
- **Practice address phone:** (920) 471-4044
- **Practice address fax:** (920) 471-4044
- **Mailing address:** 123 HOSPITAL DR STE 212, WATERTOWN, WI 53098-3336
- **Mailing address phone:** (920) 471-4044
- **Mailing address fax:** (920) 471-4044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/24/2023
- **Last updated:** 01/24/2025