Organization

New Image Weight Loss And Spa Center Llc

Clinic/Center in Brown Deer, WI(View on Map)

Legal Business Name

New Image Weight Loss And Spa Center Llc

NPI Number

1790152262

NPI Type

Organization

Enumeration Date

08/31/2015

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

5455-33

Contact
Information

Purpose

Mailing
Location

Address

5678 W BROWN DEER RD
5678 W BROWN DEER RD

City

Brown Deer
Brown Deer

State

WI
WI

Postal Code

53223-2356
53223-2356

Country

US
US

Telephone Number

(414) 732-6132
(414) 732-6132

Authorized Official

Name

Angela Aryeetey

Title or Position

PRESIDENT

Telephone Number

(414) 732-6132

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/31/2015

Provider Address