Organization
EVERGREEN HOLISTIC HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARKER HEWES (BUSINESS MANAGER)
(715) 544-8964
Entity
Organization
Contact information
Practice address
415 N FRONT ST, SPOONER, WI 54801-1403
(715) 544-8964
Mailing address
415 N FRONT ST, SPOONER, WI 54801-1403
(715) 544-8964
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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