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Contact Information

ELITE MALE T CLINIC, LLC DBA ELITE HORMONES
505 S 24TH AVE STE 204
WAUSAU, WI54401-1706
 Phone: 715-240-4150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for ELITE MALE T CLINIC LLC DBA ELITE HORMONES · (Female)

NPI # 1629916192
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2026
Last updated 03/24/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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