OrganizationActive
Vander Wielen Health & Wellness Diagnostic Center, LLC
NPI 1063741015 · Internist Chiropractor · Menasha, WI
Provider details
- NPI number
- 1063741015
- Entity type
- Organization
- Primary specialty
- Internist ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Scott Vander Wielen, Registered Agent(920) 722-2100
Specialties & taxonomies
Chiropractic Providers
Practice location
1486 Kenwood Dr
Menasha, WI 54952-1133
Phone: (920) 722-2100
Fax: (920) 722-2100
Approximate (ZIP-level) locationGet directions
Mailing address
1486 Kenwood Dr
Menasha, WI 54952-1133
Registry dates
- Enumerated
- 2009-12-21
- Last updated
- 2022-06-16
- Certified
- 2022-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.