Organization
INTERRA HEALTH INC.
Active
Other names
Three Waves Health Clinic and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE D RUTH (IMPLEMENTATION & TRAINING COORDINAT)
(414) 375-1623
Entity
Organization
Contact information
Practice address
292 OHIO ST, OSHKOSH, WI 54902-5825
(920) 267-5332
(855) 253-3142
Mailing address
8919 W HEATHER AVE, MILWAUKEE, WI 53224-2417
(414) 375-1600
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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