# NEW IMAGE WEIGHT LOSS AND SPA CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790152262
- **Authorized official:** ANGELA ARYEETEY APNP (PRESIDENT)
- **Authorized official phone:** (414) 732-6132

## Contact information

- **Practice address:** 5678 W BROWN DEER RD, BROWN DEER, WI 53223-2356
- **Practice address phone:** (414) 732-6132
- **Mailing address:** 5678 W BROWN DEER RD, BROWN DEER, WI 53223-2356
- **Mailing address phone:** (414) 732-6132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 5455-33 | WI | Yes |

## Other

- **Enumeration date:** 08/31/2015
- **Last updated:** 08/31/2015