Organization
AGELESS WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULLATTIEF A SULIEMAN MD (PRESIDENT/OWNER)
(414) 475-5800
Entity
Organization
Contact information
Practice address
2745 W LAYTON AVE, SUITE 203, MILWAUKEE, WI 53221-2651
(414) 475-5800
(414) 475-5400
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(414) 247-9005
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
51008
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881864197
—
WI
01
—
K100110473
MEDICARE
WI
Enumeration date
07/24/2013
Last updated
05/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us