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Borealis Wellness Clinic Llc
Clinic/Center in Medford, Wisconsin
NPI 1912279316

Borealis Wellness Clinic Llc is a Clinic/Center based in Medford, WI. Borealis Wellness Clinic Llc practices in Medford, WI. The NPI Number for Borealis Wellness Clinic Llc is 1912279316 and holds a License No. 4855-12 (Wisconsin).

The current practice location address for Borealis Wellness Clinic Llc is 123 W State St, Medford, WI and can be reached out via phone at 715-748-4333 and via fax at 715-748-6304.

Location: 123 W State St, Medford, WI, 54451-1772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912279316
Provider Name
Borealis Wellness Clinic Llc
Credential
Provider Entity Type
Organization
Address
123 W State St, Medford, WI, 54451-1772
Phone Number
715-748-4333
Fax Number
715-748-6304
Provider Enumeration Date
01/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
123 W State St
City
Medford
State
Wisconsin
Zip
54451-1772
Phone Number
715-748-4333
Fax Number
715-748-6304
person
Provider Business Mailing Address Details
Address
123 W State St
City
Medford
State
Wisconsin
Zip
54451-1772
Phone Number
715-748-4333
Fax Number
715-748-6304
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4855-12 (Wisconsin)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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