Organization
IRIS HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BRUNZELLE (EXECUTIVE DIRECTOR)
(262) 420-9088
Entity
Organization
Contact information
Practice address
200 N MAIN ST, WAUPACA, WI 54981-1520
(262) 420-9088
Mailing address
200 N MAIN ST, WAUPACA, WI 54981-1520
(262) 420-9088
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/16/2020
Last updated
05/05/2025
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