NPI 1629916192

Elite Male T Clinic, LLC Dba Elite Hormones

Organisation Integrative Medicine Physician Wausau, WI

Practice location

Address: 505 S 24th Ave STE 204, Wausau, WI 54401-1706
Phone: (715) 240-4150
Mailing address: 3164 Shady Ln, Stevens Point, WI 54481-9508

Authorised official

Name: Anne Ivaska
Title: Owner
Phone: (715) 370-0380

Registered specialties

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X

Other Integrative Medicine providers in Wisconsin →

Registry record

NPI: 1629916192
Entity type: Organization
NPI issued: 24 Mar 2026
Record last updated: 24 Mar 2026

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.