Organization
PRIMELIFE HEALTH AND WELLNESS
Active
Other names
PrimeLife
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M ELLIOT DMSC, PA-C (VICE PRESIDENT)
(262) 330-0062
Entity
Organization
Contact information
Practice address
888 THACKERAY TRL STE 103, OCONOMOWOC, WI 53066-4342
(866) 329-4264
Mailing address
925 GENESEE ST # 180620, DELAFIELD, WI 53018-9998
(262) 330-0062
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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