Organization
INTEGRATIVE MEDICAL AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LO (OWNER, AUTHORIZED OFFICIAL)
(262) 369-7900
Entity
Organization
Contact information
Practice address
520 HARTBROOK DR STE H, HARTLAND, WI 53029-1405
(262) 369-7900
Mailing address
520 HARTBROOK DR STE H, HARTLAND, WI 53029-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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