MEDICARE: HEALTH AND WELLNESS CLINIC OF SHOREWOOD, S.C.

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
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841281367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND WELLNESS CLINIC OF SHOREWOOD, S.C.

Provider Business Mailing Address
First Line	:	6400 INDUSTRIAL LOOP
Second Line	:
City	:	GREENDALE
State	:	WI
Zip	:	53129-2452
Country	:	US
Telephone Number	:	414-423-4100
Fax Number	:	414-423-4134

Provider Business Practice Location Address
First Line	:	3510 N OAKLAND AVE
Second Line	:	SUITE 200
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-2746
Country	:	US
Telephone Number	:	414-967-9440
Fax Number	:	414-967-9450

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ZINOVIYA TOTODOVA
Credential	:	M.D.
Telephone Number	:	414-967-9440

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1033270749 — DR. BETTYLOU DELICH DC
Practice Location Address:

3510 N OAKLAND AVE , STE 201
SHOREWOOD, WI
53211-2746

Practice Phone: 414-962-0700
Practice Fax: 414-962-0442

1841595030 — CHIROPRACTIC COMPANY - SHOREWOOD
Practice Location Address:

3510 N OAKLAND AVE , STE. 201
SHOREWOOD, WI
53211-2746

Practice Phone: 414-962-0700
Practice Fax: 414-271-1727

1053602821 — DR. BEAU JAMES BANTON D.C.
Practice Location Address:

3510 N OAKLAND AVE STE 201
SHOREWOOD, WI
53211-2746

Practice Phone: 144-962-0700
Practice Fax: 414-271-1727

1003426495 — ERICA DANIELLE KIELA DC
Practice Location Address:

3510 N OAKLAND AVE STE 201
SHOREWOOD, WI
53211-2746

Practice Phone: 414-962-0700
Practice Fax: 414-271-1727

1528714102 — DR. ROSS OLDENBURG DC
Practice Location Address:

3510 N OAKLAND AVE STE 201
SHOREWOOD, WI
53211-2746

Practice Phone: 414-962-0700
Practice Fax: 414-271-1727

1114526068 — BEREVON TAYSHAWN WYATT
Practice Location Address:

3510 N OAKLAND AVE STE 206
MILWAUKEE, WI
53211-2746

Practice Phone: 414-915-4213
Practice Fax:

Directions to “HEALTH AND WELLNESS CLINIC OF SHOREWOOD, S.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.