Provider Type Icon

VANDER WIELEN HEALTH & WELLNESS DIAGNOSTIC CENTER LLC NPI 1063741015


NPI Information

NPI: 1063741015
Provider Name: VANDER WIELEN HEALTH & WELLNESS DIAGNOSTIC CENTER, LLC
Classification: Chiropractor - 111NI0900X
Entity Type: Organization

Specialization: Internist

CLIA Number: 52D2001466

Address:
1486 KENWOOD DR
MENASHA, WI
ZIP 54952
Phone: (920) 722-2100
Get Directions

VANDER WIELEN HEALTH & WELLNESS DIAGNOSTIC CENTER, LLC is an internist chiropractor in Menasha, WI. The provider is the chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. VANDER WIELEN HEALTH & WELLNESS DIAGNOSTIC CENTER, LLC NPI is 1063741015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1486 KENWOOD DR
MENASHA, WI
ZIP 54952-133
Phone: (920) 722-2100
Fax: (920) 722-2100

The provider's authorized official is Scott Martin Vander Wielen .
The authorized official title is Registered Agent and has the following contact phone number (920) 722-2100.

The CLIA number assigned to this NPI record is 52D2001466 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 6/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NI0900XChiropractorInternistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.