Organization
SUMMIT WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LANGTIMM (PRESIDENT)
(414) 350-6064
Entity
Organization
Contact information
Practice address
301 E RESERVOIR AVE STE 1, MILWAUKEE, WI 53212-3743
(414) 350-6064
Mailing address
5154 N LYDELL AVE, WHITEFISH BAY, WI 53217-5532
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10271-24
WI
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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