Organization
ENERGIZE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY HITTMAN FNP-BC (OWNER)
(920) 373-8086
Entity
Organization
Contact information
Practice address
1700 SAND ACRES DR STE 2A, DE PERE, WI 54115-7562
(920) 819-2657
Mailing address
1716 LAWRENCE DR, DE PERE, WI 54115-9108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2019
Last updated
08/03/2019
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