Organization
ADVANCED PRACTICE INTEGRATED HEALTH STAFFING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JANELLE WOLSKE NP (CEO)
(269) 462-9587
Entity
Organization
Contact information
Practice address
756 PIPESTONE ST STE 3, BENTON HARBOR, MI 49022-4845
(269) 252-1394
Mailing address
5616 COLOMA RD, COLOMA, MI 49038-9752
(269) 252-1394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134897812
—
MI
05
—
1528680816
—
MI
Enumeration date
05/11/2020
Last updated
11/01/2021
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