Organization
MSS WELLNESS PROGRAMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTHER WILLIAM MEYER M.D. (MANAGING MEMBER)
(715) 748-3197
Entity
Organization
Contact information
Practice address
N1882 W SCHOOLHOUSE RD, OGEMA, WI 54459-8304
(715) 767-5360
(715) 767-5460
Mailing address
612 E PERKINS ST, MEDFORD, WI 54451-1913
(715) 748-3197
(715) 748-0559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1813-023
WI
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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