Organization
ELITE MALE T CLINIC, LLC DBA ELITE HORMONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE IVASKA APNP (OWNER)
(715) 370-0380
Entity
Organization
Contact information
Practice address
505 S 24TH AVE STE 204, WAUSAU, WI 54401-1706
(715) 240-4150
Mailing address
3164 SHADY LN, STEVENS POINT, WI 54481-9508
(715) 370-0380
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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