Healthcare Provider Details

I. General information

NPI: 1124157227
Provider Name (Legal Business Name): WELLNESS CENTER OF DOOR COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 N 5TH AVE
STURGEON BAY WI
54235-2102
US

IV. Provider business mailing address

312 N 5TH AVE PO BOX 85
STURGEON BAY WI
54235-2102
US

V. Phone/Fax

Practice location:
  • Phone: 920-746-9444
  • Fax: 920-746-9466
Mailing address:
  • Phone: 920-746-9444
  • Fax: 920-746-9466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1029-033
License Number StateWI

VIII. Authorized Official

Name: MS. MICHELE J. GEIGER-BRONSKY
Title or Position: EXECUTIVE DIRECTOR
Credential: MSN, APNP
Phone: 920-746-9444