NPI 1245672856

Ageless Wellness Center, INC

Organisation General Practice Physician Milwaukee, WI

Practice location

Address: 2745 W Layton Ave Suite 203, Milwaukee, WI 53221-2651
Phone: (414) 475-5800
Fax: (414) 475-5400
Mailing address: PO Box 639, Thiensville, WI 53092-0639

Authorised official

Name: Abdullattief a Sulieman
Title: President/Owner
Phone: (414) 475-5800

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 51008 (WI)

Other General Practice providers in Wisconsin →

Registry record

NPI: 1245672856
Entity type: Organization
NPI issued: 24 Jul 2013
Record last updated: 2 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.