Organization
EMOPTI PN SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEN WHALEN (DIRECTOR)
(217) 737-3508
Entity
Organization
Contact information
Practice address
W57N14280 DOERR WAY STE 201, CEDARBURG, WI 53012-3108
(217) 737-3508
Mailing address
PO BOX 7241, TACOMA, WA 98417-0241
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/10/2024
Last updated
04/08/2025
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