Provider Demographics
NPI:1255148342
Name:ANOVIA HEALTH
Entity type:Organization
Organization Name:ANOVIA HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINLAGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:715-468-6098
Mailing Address - Street 1:270 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLINTONVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54929-1104
Mailing Address - Country:US
Mailing Address - Phone:715-468-6098
Mailing Address - Fax:715-460-3095
Practice Address - Street 1:270 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CLINTONVILLE
Practice Address - State:WI
Practice Address - Zip Code:54929-1104
Practice Address - Country:US
Practice Address - Phone:715-468-6098
Practice Address - Fax:715-460-3095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty