Organization
IRIS HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BRUNZELLE (PRESIDENT)
(262) 420-9088
Entity
Organization
Contact information
Practice address
N3501 STATE ROAD 110, WEYAUWEGA, WI 54983-8644
(262) 420-9088
(262) 458-4102
Mailing address
255 W BROADWAY, WAUKESHA, WI 53186-4832
(262) 420-9088
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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