Organization
HEALTH AND WELLNESS CLINIC OF SHOREWOOD, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINOVIYA TOTODOVA M.D. (PRESIDENT)
(414) 967-9440
Entity
Organization
Contact information
Practice address
3510 N OAKLAND AVE, SUITE 200, SHOREWOOD, WI 53211-2746
(414) 967-9440
(414) 967-9450
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21280400
—
WI
Enumeration date
11/03/2005
Last updated
08/22/2020
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