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NPI Code Detail

MEDICARE: HEALTH DYNAMICS, LLC

MEDICARE: HEALTH DYNAMICS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2363A00000XPhysician Assistant
32083P0500XPreventive Medicine/Occupational Environmental Medicine Physician

General Provider Information

NPI Number : 1255389581
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH DYNAMICS, LLC
Provider Business Mailing Address
First Line : 1522 N PROSPECT AVE UNIT 1302
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-6525
Country : US
Telephone Number : 414-573-0007
Fax Number : 414-290-6755
Provider Business Practice Location Address
First Line : 1522 N PROSPECT AVE UNIT 1302
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-6525
Country : US
Telephone Number : 414-573-0007
Fax Number : 414-290-6755
Authorized Official
Title or Position : PRESIDENT
Name : THOMAS A REMINGA
Credential : M.D.
Telephone Number : 414-290-6700
Provider Enumeration Date : 05/05/2006
Last Update Date : 11/27/2024

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Directions to “HEALTH DYNAMICS, LLC ” Practice Location

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