Organization
WELLNITE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HALANSKI MD (PRESIDENT)
(877) 644-6008
Entity
Organization
Contact information
Practice address
148 E MILWAUKEE ST, JEFFERSON, WI 53549-1636
(877) 644-6008
Mailing address
2261 MARKET ST # 4058, SAN FRANCISCO, CA 94114-1612
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
11/29/2023
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