Organization
EVOLVING WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA JEAN BERNDT (EXECUTIVE DIRECTOR)
(715) 523-0617
Entity
Organization
Contact information
Practice address
2645 HARLEM ST STE 1T, EAU CLAIRE, WI 54701-2504
(715) 514-4233
Mailing address
2645 HARLEM ST STE 1T, EAU CLAIRE, WI 54701-2504
(715) 514-4233
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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