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NPI Profile for SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC in KAUKAUNA, WI.
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapy |
261QP2000X | |||
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Social Worker |
104100000X |
| NPI # | 1790312171 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/25/2020 | |
| Last updated | 04/17/2026 - About 2 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC
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SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC