Organization
FUNCTIONAL NUTRITION & WELLNESS
Active
Other names
Functional Nutrition & Wellnes
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANN PAUL PA (OWNER)
(920) 286-2800
Entity
Organization
Contact information
Practice address
1200 MAIN ST, SAINT CLOUD, WI 53079-1476
(920) 286-2800
Mailing address
N2999 HONEYMOON HILL RD, NEW HOLSTEIN, WI 53061-9727
(920) 286-2800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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