Organization · Type 2 NPI
Revitalize Your Wellness
Family Medicine Physician · Zimmerman, MN
NPI number
1194647172
Active
Practice location
12025 276th Ave NW
Zimmerman, MN 55398-8923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | None listed |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Another provider at this address
About NPI 1194647172
Revitalize Your Wellness's National Provider Identifier is 1194647172, issued on Jul 29, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Zimmerman, MN. The record was last updated on Jul 29, 2026.