Organization
BETA ONE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM CONSTANTIN TOUSIS (AUTHORIZED REPRESENTATIVE)
(262) 622-6264
Entity
Organization
Contact information
Practice address
7200 WASHINGTON AVE STE 107, MT PLEASANT, WI 53406-6516
(262) 622-6264
(262) 632-0379
Mailing address
7200 WASHINGTON AVE STE 107, MT PLEASANT, WI 53406-6516
(262) 622-6264
(262) 632-0379
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/12/2022
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