Organization
FORWARD MEDICAL WEIGHT LOSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY ANN CARMODY APNP (APNP)
(414) 350-6807
Entity
Organization
Contact information
Practice address
N112W15568 MEQUON RD # 6, GERMANTOWN, WI 53022-3413
(262) 313-8375
(262) 255-1482
Mailing address
N112W15568 MEQUON RD # 6, GERMANTOWN, WI 53022-3413
(262) 313-8375
(262) 255-1482
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3690-033
WI
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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