REVISION WELLNESS SC NPI 1871459461

NPI Information

  • NPI: 1871459461
  • Provider Name: REVISION WELLNESS SC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 203 W UPHAM ST
    MARSHFIELD, WI
    ZIP 54449
  • Phone: (715) 204-9697

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NPI Details

REVISION WELLNESS SC is a pediatrics in Marshfield, WI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. REVISION WELLNESS SC NPI is 1871459461. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

203 W UPHAM ST
MARSHFIELD, WI
ZIP 54449-460
Phone: (715) 204-9697
Fax: (715) 620-1355

The provider's authorized official is Amy Falk .
The authorized official title is Md and has the following contact phone number (715) 204-9697.

The enumeration date for this NPI number is 12/29/2025 and was last updated on 12/29/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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: 11/21/2025

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