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Organization

REM OCCUPATIONAL HEALTH & WELLNESS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA S KELCH PA-C (FOUNDER/CEO)
(414) 315-3122
Entity
Organization

Contact information

Practice address
21125 ENTERPRISE AVE, BROOKFIELD, WI 53045-5229
(414) 315-3122
(262) 753-3030
Mailing address
W242S10240 MEADOW CIR, BIG BEND, WI 53103-9750
(414) 315-3122

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1942452289
PRIVATE INSURERS
WI
Enumeration date
08/06/2020
Last updated
08/06/2020
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