Organization · Type 2 NPI
Forward Medical Weight Loss LLC
Health Service Clinic/Center · Germantown, WI
NPI number
1114356029
Active
Practice location
N112W15568 Mequon Rd # 6
Germantown, WI 53022-3413
Fax (262) 255-1482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 3690-033 (WI) |
Health Service Clinic/Center: Definition to come...
About NPI 1114356029
Forward Medical Weight Loss LLC's National Provider Identifier is 1114356029, issued on Nov 1, 2013. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Germantown, WI. The record was last updated on Nov 1, 2013.