NPI 1265230601
Primelife Health and Wellness
Practice location
- Address
- 888 Thackeray Trl STE 103, Oconomowoc, WI 53066-4342
- Phone
- (866) 329-4264
- Mailing address
- 925 Genesee St # 180620, Delafield, WI 53018-9998
Authorised official
- Name
- Eric M Elliot
- Title
- Vice President
- Phone
- (262) 330-0062
Registered specialties (2)
Integrative Medicine Physician
Primary
Obesity Medicine (Preventive Medicine) Physician
Registry record
- NPI
- 1265230601
- Entity type
- Organization
- NPI issued
- 3 Mar 2025
- Record last updated
- 3 Mar 2025
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.