Provider Demographics
NPI:1568587210
Name:HEALTH RESOURCES LLC
Entity Type:Organization
Organization Name:HEALTH RESOURCES LLC
Other - Org Name:RIVERWEST WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WETZLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-372-7552
Mailing Address - Street 1:W341N6766 LANCELOT DR
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-5121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:208 E CAPITOL DR
Practice Address - Street 2:SUITE A
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-1208
Practice Address - Country:US
Practice Address - Phone:414-372-7552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty