Organization
BLUE HORIZEN WELLNESS
Active
Other names
Medi weightloss
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM SHITTU MD (CEO)
(909) 266-3404
Entity
Organization
Contact information
Practice address
3333 S SUNNY SLOPE RD STE 108, NEW BERLIN, WI 53151-4504
(262) 317-9660
(262) 317-9660
Mailing address
3173 W RIVER ESTATES DR, MEQUON, WI 53092-2217
(909) 266-3404
(909) 266-3404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
02/10/2026
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