Provider Demographics
NPI:1336852615
Name:GEMINI HEALTH&WELLNESS LLC
Entity Type:Organization
Organization Name:GEMINI HEALTH&WELLNESS LLC
Other - Org Name:GEMINI HEALTH&WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNP
Authorized Official - Phone:937-980-9011
Mailing Address - Street 1:550 SUMMIT AVE.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-3047
Mailing Address - Country:US
Mailing Address - Phone:937-726-1660
Mailing Address - Fax:
Practice Address - Street 1:550 SUMMIT AVE.
Practice Address - Street 2:SUITE 202
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-3047
Practice Address - Country:US
Practice Address - Phone:937-726-1660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care